Organization
GUARDIAN COMMUNITY REHABILITATION SERVICES
Active
Other names
Nesburg Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE OLUWOLE OBATUASE (ADMINISTRATOR)
(410) 800-4572
Entity
Organization
Contact information
Practice address
11240 REISTERSTOWN RD, SUITE C-5, OWINGS MILLS, MD 21117-1965
(410) 800-4572
(410) 286-1923
Mailing address
11240 REISTERSTOWN RD, SUITE C-5, OWINGS MILLS, MD 21117-1965
(410) 800-4572
(410) 286-1923
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3420R
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224003P0001
—
MD
Enumeration date
04/29/2015
Last updated
04/29/2015
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