# GUARDIAN ANGEL HOME CARE OF FRESNO

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

## Provider details

- **NPI number:** 1881230514
- **Authorized official:** SAM D KASSAB (CEO)
- **Authorized official phone:** (248) 293-2400

## Contact information

- **Practice address:** 1100 W SHAW AVE STE 130, FRESNO, CA 93711-3708
- **Practice address phone:** (559) 224-1103
- **Mailing address:** 1715 NORTHFIELD DR, ROCHESTER HILLS, MI 48309-3819
- **Mailing address phone:** (248) 293-2400
- **Mailing address fax:** (248) 293-2401

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 11/18/2019