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Organization

OMNICARE GUARDIANS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATIANA JABOUIN (PRESIDENT)
(215) 475-0764
Entity
Organization

Contact information

Practice address
9116 REVERE ST, PHILADELPHIA, PA 19152-1524
(215) 475-0764
Mailing address
9116 REVERE ST, PHILADELPHIA, PA 19152-1524

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
09/03/2020
Last updated
09/03/2020
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