Organization
GUARDIAN ANGEL RCF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RALENE ELAINE DAVIS L.P.N. (OWNER/OPERATOR)
(816) 313-2515
Entity
Organization
Contact information
Practice address
6112 MANNING AVE, RAYTOWN, MO 64133-3757
(816) 313-2515
(816) 313-9935
Mailing address
6112 MANNING AVE, RAYTOWN, MO 64133-3757
(816) 313-2515
(816) 313-9935
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033926
MO
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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