Organization · Type 2 NPI

My Guardian Angel Family Care Home

Adult Care Home Facility · Rocky Mount, NC

NPI number 1669070215 Active

Practice location

514 Cokey Road
Rocky Mount, NC 27801

Call (252) 977-3368 Map

Fax (252) 977-3368

Mailing address

2001 Vernon Road
Rocky Mount, NC 27801-6348

Specialties and licenses

Taxonomy	Code	License
Custodial Care Facility	311Z00000X	None listed
Adult Care Home Facility Primary	311ZA0620X	None listed
Non-emergency Medical Transport (VAN)	343900000X	None listed
Private Vehicle	347C00000X	None listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1669070215

My Guardian Angel Family Care Home's National Provider Identifier is 1669070215, issued on Oct 15, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Rocky Mount, NC. The record was last updated on Oct 15, 2020.