Organization
MY GUARDIAN ANGEL FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON BRYANT (OWNER)
(252) 813-1939
Entity
Organization
Contact information
Practice address
514 COKEY RD, ROCKY MOUNT, NC 27801-5641
(252) 977-3368
(252) 977-3368
Mailing address
514 COKEY RD, ROCKY MOUNT, NC 27801-5641
(252) 977-3368
(252) 977-3368
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-033-009
NC
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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