Organization
GUARDIAN MOBILITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADRACH FOFANAH SR. (AUTHORIZED OFFICIAL)
(405) 938-9050
Entity
Organization
Contact information
Practice address
1600 CHELSEA DR APT 223, EDMOND, OK 73013-4311
(405) 938-9050
Mailing address
1600 CHELSEA DR APT 223, EDMOND, OK 73013-4311
(405) 938-9050
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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