Organization
GUARDIAN ANGEL HOME CARE OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM D KASSAB (CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
2905 WILSON AVE SW STE 202, GRANDVILLE, MI 49418-1287
(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
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
01/06/2022
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