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Organization
GUARDIAN HALO HEALTH CARE LLC
Active
Organization
GUARDIAN HALO HEALTH CARE LLC
Active
Other names
Guardian Halo Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN OMONKHUALE MADOJEMIU B.S, M.SC., MSM, CTM (PRESIDENT/CEO)
(228) 471-5249
Entity
Organization
Contact information
Practice address
4341 GAUTIER VANCLEAVE ROAD, SUITE 4, GAUTIER, MS 39553-5824
(228) 471-5249
(228) 471-5249
Mailing address
4341 GAUTIER VANCLEAVE ROAD, SUITE 4, GAUTIER, MS 39553-5824
(228) 471-5249
(228) 471-5249
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335G00000X
Medical Foods Supplier
—
—
385H00000X
Respite Care
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/16/2016
Last updated
08/08/2018
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