| Guardian Angel Healthcare, Llc | |
|
503 Dabney Dr Henderson NC 27536-3945 | |
| (252) 572-4005 | |
| (252) 598-0051 |
| Full Name | Guardian Angel Healthcare, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 503 Dabney Dr, Henderson, North Carolina |
| Authorized Official Name and Position | Cornelius Williams (PRESIDENT / CEO) |
| Authorized Official Contact | 2522041381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Angel Healthcare, Llc Po Box 2002 Henderson NC 27536-2002 Ph: (252) 204-1381 | Guardian Angel Healthcare, Llc 503 Dabney Dr Henderson NC 27536-3945 Ph: (252) 572-4005 |
| NPI Number | 1801356316 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 09/25/2021 |
| Certification Date | 09/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801356316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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