Organization
GUARDIANTRAC. LLC
Active
Other names
GT Independence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CARMICHAEL (CHIEF EXECUTIVE OFFICER)
(877) 659-4500
Entity
Organization
Contact information
Practice address
215 BROADUS ST, STURGIS, MI 49091
(269) 651-4500
Mailing address
215 BROADUS ST, STURGIS, MI 49091-1384
(877) 659-4500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/22/2007
Last updated
05/29/2025
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