Healthcare Provider Details

I. General information

NPI: 1689622425
Provider Name (Legal Business Name): GUARDIAN ANGELS HEALTH AND REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 3RD AVE E
HIBBING MN
55746-1462
US

IV. Provider business mailing address

801 NEVADA AVE
MORRIS MN
56267-1865
US

V. Phone/Fax

Practice location:
  • Phone: 218-263-7583
  • Fax: 218-263-3422
Mailing address:
  • Phone: 320-589-2004
  • Fax: 320-589-2543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number328228
License Number StateMN

VIII. Authorized Official

Name: CURTIS BACH
Title or Position: CFO
Credential:
Phone: 320-589-4910