# GUARDIAN PERSONAL CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1275270647
- **Authorized official:** HEANA VANG (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (414) 745-2110

## Contact information

- **Practice address:** 4788 N 126TH ST, BUTLER, WI 53007-1721
- **Practice address phone:** (414) 745-2110
- **Mailing address:** 4788 N 126TH ST, BUTLER, WI 53007-1721

## Taxonomy

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

## Other

- **Enumeration date:** 05/17/2022
- **Last updated:** 05/17/2022