Provider Demographics
NPI:1518167113
Name:GUARDIAN ANGELS ALTERNATIVE CARE, INC.
Entity Type:Organization
Organization Name:GUARDIAN ANGELS ALTERNATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-808-2990
Mailing Address - Street 1:3005 FAIRWAY RD
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4927
Mailing Address - Country:US
Mailing Address - Phone:252-808-2990
Mailing Address - Fax:252-726-5615
Practice Address - Street 1:3005 FAIRWAY RD
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4927
Practice Address - Country:US
Practice Address - Phone:252-808-2990
Practice Address - Fax:252-726-5615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies