Organization
GUARDIAN HOME LLC
Active
Other names
Angel Care Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA ARMENTA-PEREZ (OWNER)
(702) 416-0307
Entity
Organization
Contact information
Practice address
5559 TROOPER ST, LAS VEGAS, NV 89120-2232
(702) 416-0307
Mailing address
5559 TROOPER ST, LAS VEGAS, NV 89120-2232
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
7543AGC-3
NV
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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