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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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