The Guardian Glow LLC

NPI #1306650023 in Waukee, Iowa

Provider Information

NPI Number: 1306650023
Entity Type: Organization
Organization Name: The Guardian Glow LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 4, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 855 ROMAN RD
City: Waukee
State: Iowa
ZIP Code: 50263-8075
Phone: (312) 385-9163

Authorized Official

Name: MS. GLORY GODSON KOMBE
Title: CEO
Phone: (312) 385-9163

Specialties & Taxonomy Codes

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

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