Organization
GUARDIAN ANGEL HOME 4 LOVED ONES
Active
Other names
Guardian Angel home 4 loved Ones
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET NWOKEDI NP (RN, NURSE PRACTITIONER)
(214) 202-9640
Entity
Organization
Contact information
Practice address
12809 FLAT CREEK DR, PEARLAND, TX 77584-3105
(214) 202-9640
(713) 340-1252
Mailing address
12809 FLAT CREEK DR, PEARLAND, TX 77584-3105
(214) 202-9640
(713) 340-1252
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
04/05/2022
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