| 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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