Organization
GUARDIAN ANGEL HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D KASSAB (PRESIDENT/CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
3055 KETTERING BLVD., SUITE 307, MORAINE, OH 45439-1949
(937) 643-3472
(937) 643-3483
Mailing address
1715 NORTHFIELD DRIVE, ROCHESTER HILLS, MI 43093-3819
(248) 293-2418
(248) 293-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063778
—
OH
05
—
306778
—
OH
05
—
368308
—
OH
Enumeration date
09/18/2008
Last updated
10/04/2016
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