Guardian Angel Healthcare, Llc | |
5108 Nc Highway 58 N Wilson NC 27896-7944 | |
(252) 360-4333 | |
Not Available |
Full Name | Guardian Angel Healthcare, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5108 Nc Highway 58 N, Wilson, North Carolina |
Authorized Official Name and Position | Cornelius Williams (PRESIDENT / CEO) |
Authorized Official Contact | 2525724005 |
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 5108 Nc Highway 58 N Wilson NC 27896-7944 Ph: (252) 360-4333 |
NPI Number | 1174374318 |
---|---|
Provider Enumeration Date | 03/27/2024 |
Last Update Date | 03/27/2024 |
Certification Date | 03/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174374318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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