Provider Demographics
NPI:1801031398
Name:GUARDIAN ANGELS RES. SVCS MINISTRIES
Entity Type:Organization
Organization Name:GUARDIAN ANGELS RES. SVCS MINISTRIES
Other - Org Name:GUARDIAN ANGELS RESIDENTIAL SERVIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:MARITA
Authorized Official - Last Name:TRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-285-4406
Mailing Address - Street 1:18977 STRATHMOOR ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-2567
Mailing Address - Country:US
Mailing Address - Phone:313-285-4406
Mailing Address - Fax:313-342-2738
Practice Address - Street 1:18977 STRATHMOOR ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2567
Practice Address - Country:US
Practice Address - Phone:313-285-4406
Practice Address - Fax:313-342-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable