Organization
GUARDIAN HEALTH CARE INC
Active
Organization
GUARDIAN HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJORY MAE LARONGE (DIRECTOR)
(636) 942-4417
Entity
Organization
Contact information
Practice address
5405 OLD STATE ROUTE 21, HOUSE SPRINGS, MO 63051-2439
(636) 942-4417
(636) 942-5997
Mailing address
5405 OLD STATE ROUTE 21, HOUSE SPRINGS, MO 63051-2439
(636) 942-4417
(636) 942-5997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
MO
163WH0200X
Home Health Registered Nurse
—
MO
251J00000X
Nursing Care Agency
—
MO
302R00000X
Health Maintenance Organization
—
MO
372500000X
Chore Provider
—
MO
372600000X
Adult Companion
—
MO
3747P1801X
Personal Care Attendant
—
MO
376J00000X
Homemaker
—
MO
376K00000X
Nurse's Aide
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001152
SSBG
MO
05
—
262957905
—
MO
05
—
282957901
—
MO
Enumeration date
02/01/2007
Last updated
10/21/2008
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