Melindas Guardian Angel Personal Care Home

NPI #1841504511 in Statham, Georgia

Provider Information

NPI Number: 1841504511
Entity Type: Organization
Organization Name: Melindas Guardian Angel Personal Care Home
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 4, 2010
Last Updated: Aug 4, 2010

Practice Location

Address: 593 EIGHTH ST
City: Statham
State: Georgia
ZIP Code: 30666-1830
Phone: (770) 725-7407

Authorized Official

Name: MS. KAREN MECHELLE DELANEY
Title: ADMINISTRATOR
Phone: (678) 558-2116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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