| Organization Name: | GUARDIAN IN-HOME THERAPY, LLC |
| NPI Number: | 1376990929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN P. RENDOS (TREASURER/CFO) |
| Mailing Address: | 8796 Route 219 Vsi Building Brockway |
| State: | PA US |
| Postal Code: | 158246010 |
| Phone Number: | 8142651164 |
| Fax Number: | 8142651796 |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |