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GUARDIAN ANGEL FAMILY CARE HOME, INC

Custodial Care Facility

Burlington, North Carolina

Provider NPI: 1952445090

Organization Information:
Organization Name:  GUARDIAN ANGEL FAMILY CARE HOME, INC


Practice Location:
1006 RICHMOND AVE  BURLINGTON, NC 27217 US
Tel: 336-222-0114  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
NCFCL-001-118

Other Provider Identifiers:

IssuerNumberStateType
7805761NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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