| Organization Name: | GUARDIAN ANGEL OUTPATIENT REHAB INC |
| NPI Number: | 1821097684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAM D. KASSAB (CEO/OWNER) |
| Mailing Address: | 34612 Dequindre Rd Suite C Sterling Hts |
| State: | MI US |
| Postal Code: | 483105233 |
| Phone Number: | 5869834101 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2005 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |