Organization
VANGUARD HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA E CRAWFORD RN (OWNER/DON)
(678) 612-2700
Entity
Organization
Contact information
Practice address
528 WATER BIRCH WAY, MARIETTA, GA 30066-5820
(678) 612-2700
(678) 840-0083
Mailing address
528 WATER BIRCH WAY, MARIETTA, GA 30066-5820
(678) 612-2700
(678) 840-0083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
033-R-1864
GA
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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