Organization
GUARDIAN COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON IRELAND (CFO)
(615) 377-9140
Entity
Organization
Contact information
Practice address
895 WILLOW TREE CIR, CORDOVA, TN 38018-3106
(901) 682-1940
(901) 682-1946
Mailing address
105 WESTPARK DR, SUITE 100, BRENTWOOD, TN 37027-5319
(615) 377-9140
(615) 661-6011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TN
Other
Enumeration date
03/29/2007
Last updated
06/02/2010
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