Organization
GUARDIAN ANGEL HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D KASSAB (CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
2905 WILSON AVE SW SUITE 202, GRANDVILLE, MI 49418-1295
(616) 361-3940
(616) 361-3946
Mailing address
1715 NORTHFIELD DR, ROCHESTER HILLS, MI 48309-3819
(248) 293-2400
(248) 293-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MI
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629116769
—
MI
05
—
5451846
—
MI
Enumeration date
02/01/2007
Last updated
03/23/2020
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