GUARDIAN ANGEL CARE CENTER
Adult Care Home
Vancouver, Washington
Provider NPI: 1275703779
Organization Information:Organization Name: GUARDIAN ANGEL CARE CENTER
Practice Location:
206 NW 98TH CIR VANCOUVER, WA 98665 US
Tel: 360-576-3530 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
206 NW 98TH CIR VANCOUVER, WA 98665 US
Tel: 360-576-3530 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WA | 489102 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ADULT CARE HOME | 311ZA0620X | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin