Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Guardian Angels Supported Living LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1518457209

Guardian Angels Supported Living LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sikeston, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1006 Linn St
Sikeston, MO 63801-2223
Phone: (573) 471-1412
Fax: (573) 481-4432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1518457209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Hardaway — Ceo · (573) 575-1015
NPI enumeratedMay 17, 2018
Last updated in NPPESMay 1, 2019
Mailing address1006 Linn St, Sikeston, MO 63801-2223

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