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Organization
GUARDIAN COMMUNITY LIVING, LLC
Active
Organization
GUARDIAN COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD IRELAD (CFO)
(615) 377-9140
Entity
Organization
Contact information
Practice address
895 WILLOW TREE CIR, CORDOVA, TN 38018-3106
(901) 682-1940
Mailing address
105 WESTPARK DR, STE 100, BRENTWOOD, TN 37027-5319
(615) 377-9140
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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