Organization
GUARDIAN ANGEL HEALTHCARE, LLC
Active
Other names
Esther's Place Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS WILLIAMS (PRESIDENT/REGISTERED AGENT)
(252) 204-1381
Entity
Organization
Contact information
Practice address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-4487
(252) 572-2147
Mailing address
270 CHARLES ST, HENDERSON, NC 27536-4328
(252) 572-4487
(252) 572-2147
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-091-087
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418365
—
NC
Enumeration date
06/22/2010
Last updated
09/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us