Organization Name: | GUARDIAN FAMILY CARE, INC. |
NPI Number: | 1790923506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEVERLY D MITAL (CEO/PRESIDENT) |
Mailing Address: | 1698 Iowa Dr Le Claire |
State: | IA US |
Postal Code: | 527539231 |
Phone Number: | 5632895229 |
Fax Number: | 5632893444 |
NPI Enumeration Date: | 02/02/2009 |
NPI Last Update Date: | 02/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3000309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |