Organization
GUARDIAN CENTER, INC
Active
Other names
The Guardian Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GROVE (CEO-GUARDIAN FOUNDATION)
(404) 233-6500
Entity
Organization
Contact information
Practice address
888 NORTH MAIN STREET, BROCKTON, MA 02301
(508) 588-1694
Mailing address
888 NORTH MAIN STREET, BROCKTON, MA 02301
(508) 588-1694
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0925187
—
MA
01
—
2222538201
BLUE CROSS BLUE SHIELD
MA
01
—
7100960
EVERCARE
MA
01
—
981017
TUFTS
MA
Enumeration date
09/15/2006
Last updated
06/24/2008
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