Organization
GUARDIAN ANGEL HOME CARE OF SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM D KASSAB (CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
1428 PHILLIPS LN STE B2, SAN LUIS OBISPO, CA 93401-2571
(805) 544-4002
(805) 544-4003
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
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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