| NPI | 1780270777 |
|---|---|
| Former Legal Business Name | GUARDIAN ANGEL HOME 4 LOVED ONES |
| Entity Type | Organization |
| Authorized Contact | JULIET NWOKEDI RN, Nurse Practitioner 214-202-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2022-04-05 |