| Doctor Name: | MR. IONA E REDGUARD |
| NPI Number: | 1003932724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN 508020L |
| Business Practice Address: | 1450 Wick Ln Blue Bell, PA - 194223344 |
| Business Phone Number: | 6102775675 |
| Business Fax Number: | 6102772356 |
| Mailing Address: | 1450 Wick Ln, BLUE BELL |
| State: | PA |
| Postal Code: | 194223344 |
| Phone Number: | 6102775676 |
| Fax Number: | 6102772356 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | RN 508020L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |