Organization Name: | MY GUARDIAN FOR LIFE, INC. |
NPI Number: | 1619256740 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA KEILERS (CEO) |
Mailing Address: | 761 Justin Rd Ste G Rockwall |
State: | TX US |
Postal Code: | 750874876 |
Phone Number: | 9727227490 |
Fax Number: | 9727227403 |
NPI Enumeration Date: | 08/07/2011 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |