Organization
GUARDIAN FAMILY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY D MITAL (CEO/PRESIDENT)
(563) 289-5229
Entity
Organization
Contact information
Practice address
1698 IOWA DR, LE CLAIRE, IA 52753-9231
(563) 289-5229
(563) 289-3444
Mailing address
1698 IOWA DR, PO BOX 37, LE CLAIRE, IA 52753-9231
(563) 289-5229
(563) 289-3444
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000453274
—
IA
Enumeration date
02/02/2009
Last updated
02/02/2009
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