Organization Name: | GUARDIAN HOSPICE, INC |
NPI Number: | 1982694295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY MCCANN (GENERAL MANAGER) |
Mailing Address: | 825 Little Farms Ave Suite D Metairie |
State: | LA US |
Postal Code: | 700035913 |
Phone Number: | 5047372244 |
Fax Number: | 5047372245 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 126 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |