Organization
GUARDIAN ANGEL HEALTHCARE II, INC.
Active
Parent organization
GUARDIAN ANGEL HEALTHCARE II, INC.
Other names
Patients' Choice Medical Center of Smith county
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN ANGEL HEALTHCARE II, INC.
Authorized official
PAULETTE BUTLER (ADMINISTRATOR)
(601) 782-9997
Entity
Organization
Contact information
Practice address
347 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 782-9997
(601) 782-5655
Mailing address
347 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 782-9997
(601) 782-5655
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09156818
—
MS
Enumeration date
07/23/2019
Last updated
07/23/2019
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