Guardian Angel Life Services, Inc
Organization Active NPI Community/Behavioral Health Agency · Kenesaw, NE
NPI 1114737186 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1114737186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- GUARDIAN ANGEL LIFE SERVICES, INC
- Practice address
- 213 N Smith Ave
Kenesaw, NE 68956-1747 - Phone
- (402) 752-3670
- NPI assigned
- Jan 10, 2025
- Organization subpart
- No
Authorized official
- Name
- Shelly Wieland
- Title
- Director
- Phone
- (402) 752-3670
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
213 N Smith Ave
Kenesaw, NE 68956-1747
Mailing address
PO Box 260
Kenesaw, NE 68956-0260
Phone (402) 752-3670
Other names
- Guardian Angel Life Services, Inc
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- Carrie Ann Cook
- Devin A Gamble
- Lila Jane Gamble
- Kenesaw Public Schools
- Brian Scott Ortgies
- Premier Estates of Kenesaw, LLC
- Matthew Brian Reiman
- SSC Kenesaw Operating Company LLC
All providers in Kenesaw, NE · Community/Behavioral Health Agency in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.