Organization
MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MECHELLE DELANEY (ADMINISTRATOR)
(678) 558-2116
Entity
Organization
Contact information
Practice address
593 EIGHTH ST, STATHAM, GA 30666-1830
(770) 725-7407
(678) 963-2761
Mailing address
1301 DIANNE WAY, WINDER, GA 30680-5621
(678) 558-2116
(678) 963-2761
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
007010311
GA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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