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Organization

GUARDIAN CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS EBONY MAIA WHITAKER (OWNER/PROVIDER)
(813) 863-7570
Entity
Organization

Contact information

Practice address
1102 RAY CHARLES BLVD UNIT 619, TAMPA, FL 33602-3059
(813) 863-7570
Mailing address
1102 RAY CHARLES BLVD UNIT 619, TAMPA, FL 33602-3059
(813) 863-7570

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
12/07/2020
Last updated
12/07/2020
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