Organization
GUARDIAN ANGEL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM D KASSAB (CEO/OWNER)
(248) 293-2404
Entity
Organization
Contact information
Practice address
1428 PHILLIPS LN, SUITE B-2, SAN LUIS OBISPO, CA 93401-2537
(805) 544-4002
(805) 544-4003
Mailing address
1715 NORTHFIELD DR, ROCHESTER HILLS, MI 48309-3819
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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