Organization
GUARDIAN HOME CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ALICIA CHAPMAN LPN (ADMINISTRATOR)
(904) 572-2162
Entity
Organization
Contact information
Practice address
50 N LAURA ST STE 2500, JACKSONVILLE, FL 32202-3646
(904) 572-2162
Mailing address
50 N LAURA ST STE 2500, JACKSONVILLE, FL 32202-3646
(904) 572-2162
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
FL
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104508700
—
FL
Enumeration date
02/08/2017
Last updated
03/26/2024
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