institution
Guardian Light, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hallsboro, North Carolina
NPI 1225238421

Guardian Light, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Whiteville, NC. Guardian Light, Inc. practices in Hallsboro, NC. The NPI Number for Guardian Light, Inc. is 1225238421 and holds a License No. MHL-024-056 (North Carolina).

The current practice location address for Guardian Light, Inc. is 1294 Hallsboro Rd S, Hallsboro, NC and can be reached out via phone at 910-646-7143.

Location: 1294 Hallsboro Rd S, Hallsboro, NC, 28472-1877
institution
Provider Profile Details
NPI Number
1225238421
Provider Name
Guardian Light, Inc.
Credential
Provider Entity Type
Organization
Address
1294 Hallsboro Rd S, Hallsboro, NC, 28472-1877
Phone Number
910-646-7143
Fax Number
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0961 05 NC
institution
Provider Business Practice Location Address Details
Address
1294 Hallsboro Rd S
City
State
Zip
28442-9276
Phone Number
910-646-7143
Fax Number
person
Provider Business Mailing Address Details
Address
1294 Hallsboro Rd S
City
State
Zip
28442-9276
Phone Number
910-646-7143
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
MHL-024-056 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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