Organization
GUARDIAN CARE LLC.
Active
Organization
GUARDIAN CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA W OBERHOUSEN (ADMINISTRATOR)
(601) 415-9533
Entity
Organization
Contact information
Practice address
104 W RAILROAD AVE N, CRYSTAL SPRINGS, MS 39059-2154
(601) 415-9533
Mailing address
408 STONEWATER CV, MADISON, MS 39110-4405
(601) 415-9533
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09574731
—
MS
Enumeration date
05/19/2012
Last updated
06/28/2016
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