| Guardian Angel Healthcare Inc., Ii | |
|
347 Magnolia Dr Raleigh MS 39153-6011 | |
| (601) 782-9997 | |
| Not Available |
| Full Name | Guardian Angel Healthcare Inc., Ii |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 347 Magnolia Dr, Raleigh, Mississippi |
| Authorized Official Name and Position | Paulette Butler (CEO) |
| Authorized Official Contact | 6017829997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Angel Healthcare Inc., Ii 347 Magnolia Dr Raleigh MS 39153-6011 Ph: (601) 782-9997 | Guardian Angel Healthcare Inc., Ii 347 Magnolia Dr Raleigh MS 39153-6011 Ph: (601) 782-9997 |
| NPI Number | 1174820765 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174820765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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