Organization
GUARDIAN OP 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH Y DEUTSCH (AUTHORIZED SIGNER)
(917) 903-6260
Entity
Organization
Contact information
Practice address
888 N MAIN ST, BROCKTON, MA 02301-1668
(508) 587-6556
Mailing address
888 N MAIN ST, BROCKTON, MA 02301-1668
(508) 587-6556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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