Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Other names
Esther's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS WILLIAMS (OWNER)
(252) 572-4487
Entity
Organization
Contact information
Practice address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-2146
(252) 572-2147
Mailing address
107 CURRIN LN, WARRENTON, NC 27589-2249
(252) 213-4394
(252) 572-2147
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-091-087
NC
Other
Enumeration date
01/26/2007
Last updated
06/15/2010
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