National Provider Identifier Database

LOWES GUARDIAN ANGEL LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

LOWES GUARDIAN ANGEL LLC
7056 EUNICE DR.
RIVERDALE, GA30274
Phone: 678-586-3171
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for LOWES GUARDIAN ANGEL LLC

NPI Number 1942571625
Legal business name
LBN
LOWES GUARDIAN ANGEL LLC
Authorized official GLENN LOWE - (DDP)
Entity Organization
Organization subpart No
Enumeration date 01/26/2012
Last updated 01/26/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 251911340
  • GA Other: 251911340 DBHDD DEVELOPMENTAL DISABILITIES PROVIDER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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