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Organization

GUARDIAN ANGELS PRIVATE HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRITTANEY SHONTERIA HESTER (ADMINISTRATOR)
(770) 666-4401
Entity
Organization

Contact information

Practice address
207 KITE LAKE RD, FAYETTEVILLE, GA 30214-9608
(770) 666-4401
Mailing address
207 KITE LAKE RD, FAYETTEVILLE, GA 30214-9608
(770) 666-4401

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311Z00000X
Custodial Care Facility

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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