Organization
GUARDIAN ANGEL DAY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ISAMEENA GRAHAM BSN, RN (CEO)
(804) 715-7575
Entity
Organization
Contact information
Practice address
10116 DUNCAN RD, N DINWIDDIE, VA 23803-9028
(804) 715-7575
Mailing address
10116 DUNCAN RD, N DINWIDDIE, VA 23803-9028
(804) 715-7575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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