Organization
GUARDIAN HEALTH CARE PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENELYN GERONIMO ACACIO (PHYSICAL THERAPIST)
(347) 595-0692
Entity
Organization
Contact information
Practice address
105 WESTPARK DR STE 100, BRENTWOOD, TN 37027-5319
(800) 365-5787
Mailing address
300 S FOCH ST, #3, TRUTH OR CONSEQUENCES, NM 87901-3330
(347) 595-0692
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4042
NM
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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