Organization
GUARDIAN CARE, INC
Active
Other names
Guardian Care Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P ANNICHIARICO FACHE (EXECUTIVE DIRECTOR)
(407) 295-5371
Entity
Organization
Contact information
Practice address
2500 W CHURCH ST, ORLANDO, FL 32805-2330
(407) 295-5371
(407) 296-3756
Mailing address
2500 W CHURCH ST, ORLANDO, FL 32805-2330
(407) 295-5371
(407) 296-3756
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1186096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1V
BCBS PROVIDER NUMBER
FL
Enumeration date
11/03/2006
Last updated
08/22/2020
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