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Organization

GUARDIAN HALO HEALTH CARE LLC

Active
Other names
Guardian Halo Home Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN OMONKHUALE MADOJEMIU B.S, M.SC., MSM, CTM (PRESIDENT/CEO)
(228) 471-5249
Entity
Organization

Contact information

Practice address
4341 GAUTIER VANCLEAVE ROAD, SUITE 4, GAUTIER, MS 39553-5824
(228) 471-5249
(228) 471-5249
Mailing address
4341 GAUTIER VANCLEAVE ROAD, SUITE 4, GAUTIER, MS 39553-5824
(228) 471-5249
(228) 471-5249

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
332900000X
Non-Pharmacy Dispensing Site
332B00000X
Durable Medical Equipment & Medical Supplies
335G00000X
Medical Foods Supplier
385H00000X
Respite Care
Primary
385HR2050X
Respite Care Camp
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
06/16/2016
Last updated
08/08/2018
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