Organization
GUARDIAN HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMELITA PATOLOT MAYER R.N. (PRESIDENT/ADMINISTRATOR)
(773) 746-4525
Entity
Organization
Contact information
Practice address
7132 N HARLEM AVENUE, SUITE 107, CHICAGO, IL 60631-1086
(773) 631-7975
(773) 631-7965
Mailing address
7132 N HARLEM AVENUE, SUITE 107, CHICAGO, IL 60631-1086
(773) 631-7975
(773) 631-7965
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010780
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010780
ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE
IL
Enumeration date
07/17/2008
Last updated
07/17/2008
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