Organization · Type 2 NPI
Guardian Angel Homes LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, MI
Practice location
1038 Woodbridge St
Jackson, MI 49203-3112
Mailing address
725 N Dettman Rd
Jackson, MI 49202-2605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AS380389381 (MI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | AS380389381 (MI) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Jackson
About NPI 1285134965
Guardian Angel Homes LLC's National Provider Identifier is 1285134965, issued on Feb 19, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Jackson, MI. The record was last updated on Feb 19, 2018.