Guardian Angel Homes LLC

NPI #1285134965 in Jackson, Michigan

Provider Information

NPI Number: 1285134965
Entity Type: Organization
Organization Name: Guardian Angel Homes LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 1038 WOODBRIDGE ST
City: Jackson
State: Michigan
ZIP Code: 49203-3112
Phone: (517) 914-1039

Authorized Official

Name: REYNALDO S PATINO
Title: ADMINISTRATIVE MANAGER
Phone: (517) 914-1039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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