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Organization
GUARDIAN HEALTH CARE PROVIDER INC.
Active
Organization
GUARDIAN HEALTH CARE PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENELYN GERONIMO ACACIO (PHYSICAL THERAPIST)
(347) 595-0692
Entity
Organization
Contact information
Practice address
105 WESTPARK DR STE 100, BRENTWOOD, TN 37027-5319
(800) 365-5787
Mailing address
300 S FOCH ST, #3, TRUTH OR CONSEQUENCES, NM 87901-3330
(347) 595-0692
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4042
NM
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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