Organization
GUARDIAN HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY S. MALLARD (EXECUTIVE DIRECTOR)
(828) 324-3025
Entity
Organization
Contact information
Practice address
100 MAIN AVE NW STE 200, HICKORY, NC 28601-6200
(828) 324-3025
(828) 324-1930
Mailing address
100 MAIN AVE NW STE 200, HICKORY, NC 28601-6200
(828) 324-3025
(828) 324-1930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3417085
—
NC
01
—
347085
MEDICARE PROVIDER
—
Enumeration date
07/05/2005
Last updated
07/21/2022
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