Organization
GUARDIAN ANGEL HEALTHCARE II, INC
Active
Parent organization
GUARDIAN ANGEL HEALTHCARE II, INC.
Other names
Patients' Choice Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN ANGEL HEALTHCARE II, INC.
Authorized official
DR. PAULETTE BUTLER PHD (CEO)
(601) 732-7384
Entity
Organization
Contact information
Practice address
347 MAGNOLIA DRIVE, RALEIGH, MS 39153
(601) 782-9997
Mailing address
41 S HALL RD, MORTON, MS 39117-8057
(601) 732-8473
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
16-255
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-U163
SWING BED CMS CERTIFICATION NUMBER
MS
Enumeration date
07/11/2008
Last updated
02/07/2022
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