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Organization
GUARDIAN ANGEL HOME CARE, INC.
Active
Organization
GUARDIAN ANGEL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D. KASSAB (CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
10000 N. 31ST AVENUE, SUITE B111, PHOENIX, AZ 85051-0907
(330) 752-0141
(248) 293-2401
Mailing address
1715 NORTHFIELD DRIVE, GUARDIAN ANGEL HOME CARE, INC., ROCHESTER HILLS, MI 48309-3819
(248) 293-2400
(248) 293-2401
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534606
—
AZ
Enumeration date
06/25/2008
Last updated
08/17/2015
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