# GUARDIAN COMMUNITY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245909639
- **Authorized official:** GENNETTA TAMARA NELSON BSN,RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (919) 358-2797

## Contact information

- **Practice address:** 101 FOREST DR STE B, KNIGHTDALE, NC 27545-9603
- **Practice address phone:** (919) 358-2797
- **Mailing address:** PO BOX 1482, KNIGHTDALE, NC 27545-1482
- **Mailing address phone:** (919) 358-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021