Organization
GUARDIAN CARE SURGICAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLET TROUT (CEO)
(606) 638-4822
Entity
Organization
Contact information
Practice address
20 MEDICAL HTS, LOUISA, KY 41230-9603
(606) 638-4822
(606) 638-4820
Mailing address
20 MEDICAL HTS, LOUISA, KY 41230-9603
(606) 638-4822
(606) 638-4820
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27564
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64275647
—
KY
Enumeration date
07/31/2007
Last updated
04/14/2008
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