OrganizationActive
Guardian Angel Homes LLC
NPI 1285134965 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jackson, MI
Provider details
- NPI number
- 1285134965
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Reynaldo Patino, Administrative Manager(517) 914-1039
- License
- AS380389381 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense AS380389381 (MI)
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
1038 Woodbridge St
Jackson, MI 49203-3112
Phone: (517) 914-1039
Approximate (ZIP-level) locationGet directions
Mailing address
725 N Dettman Rd
Jackson, MI 49202-2605
Registry dates
- Enumerated
- 2018-02-19
- Last updated
- 2018-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.