Organization · NPI-2
Valet Guardian LLC
Nursing Home Administrator · Atlanta, GA
NPI number1003588500
StatusActive
Last updated in NPPESOct 2, 2021
Details
- NPI
- 1003588500
- Entity type
- Organization (NPI-2)
- Legal business name
- Valet Guardian LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2021
- Certification date
- Oct 2, 2021
- Last updated
- Oct 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376G00000X | Nursing Home Administrator | – | – | Yes |
Practice location
3700 High Point Ln SwAtlanta, GA 30331-7986
Phone 239-258-8462
Mailing address
3700 High Point Ln SwAtlanta, GA 30331-7986
Authorized official
Danika Desgazon
Co Owner
2392588462
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