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Organization
HPDTRA GUARDIAN LIVING SERVICES LLC
Active
Organization
HPDTRA GUARDIAN LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMED HA SIN (OWNER / ADMINISTRATOR)
(260) 239-8364
Entity
Organization
Contact information
Practice address
1611 E FAIRFAX AVE, FORT WAYNE, IN 46806-3243
(260) 239-8364
Mailing address
1611 E FAIRFAX AVE, FORT WAYNE, IN 46806-3243
(260) 239-8364
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/01/2026
Last updated
09/01/2026
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