Organization
GUARDIAN HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A DE LA ROSA (CEO)
(617) 477-8290
Entity
Organization
Contact information
Practice address
891 CENTRE ST, JAMAICA PLAIN, MA 02130-2776
(617) 477-8290
(888) 333-1164
Mailing address
891 CENTRE ST, BOSTON, MA 02130
(617) 477-8290
(617) 477-8292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085134C
—
MA
05
—
110085134E
—
MA
Enumeration date
10/06/2008
Last updated
11/08/2024
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