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General NPI Number Information
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NPI Number | 1669380507
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGELS STRUCTURED SENIOR LIVING
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 29538 BRYANS MNR
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City | KATY
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State | TX
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Zip | 77494-5547
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Country | US
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Telephone | 832-651-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 11822 CITTA BELLA CT
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City | RICHMOND
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State | TX
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Zip | 77406-1156
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Country | US
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Telephone | 832-361-8051
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DOUGLAS LAVERN TAYLOR SR.
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Credential |
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Telephone | 832-651-2253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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