Organization
ITS MY GUARDIAN ANGEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI TAYLOR (CEO)
(682) 334-2567
Entity
Organization
Contact information
Practice address
1721 E BELT LINE RD, UNIT 221, COPPELL, TX 75019-9611
(682) 334-2567
Mailing address
1721 E BELT LINE RD, UNIT 221, COPPELL, TX 75019-9611
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
35233953
TX
347C00000X
Private Vehicle
35233953
TX
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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