Organization
SUBURBAN GUARDIANSHIP, LLC.
Active
Other names
Suburban Guardianship, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESHAUN VRAIN CLARK (OWNER/CEO)
(704) 918-4627
Entity
Organization
Contact information
Practice address
1061 UNION ST S, CONCORD, NC 28025-5778
(704) 918-4627
(704) 918-4627
Mailing address
1061 UNION ST S, CONCORD, NC 28025-5778
(704) 918-4627
(704) 918-4627
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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