# GUARDIAN HEALTHCARE PROVIDER

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

## Provider details

- **NPI number:** 1447691316
- **Authorized official:** MS. GENELYN GERONIMO ACACIO (PHYSICAL THERAPIST)
- **Authorized official phone:** (347) 595-0692

## Contact information

- **Practice address:** 300 S FOCH ST, \#3, TRUTH OR CONSEQUENCES, NM 87901-3330
- **Practice address phone:** (347) 595-0692
- **Mailing address:** 300 S FOCH ST, \#3, TRUTH OR CONSEQUENCES, NM 87901-3330
- **Mailing address phone:** (347) 595-0692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4042 | NM | Yes |

## Other

- **Enumeration date:** 07/08/2013
- **Last updated:** 07/08/2013