Organization
MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME
Active
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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