Guardian Angel Healthcare, LLC
Community/Behavioral Health in Henderson, NC. Organization (NPI-2).
NPI number1982434510
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1982434510
- Entity type
- Organization (NPI-2)
- Legal business name
- Guardian Angel Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Shelton'S Place Facility (Doing Business As)
Practice location
448 Summit RdHenderson, NC 27537-4529
Phone 252-430-3135 · Fax 252-598-0051
Mailing address
Po Box 2002Henderson, NC 27536-2002
Phone 252-204-1381 · Fax 252-598-0051
Authorized official
Cornelius Williams
President / Ceo
2525724005
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