Organization
GUARDIAN ANGEL HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM D KASSAB (PRESIDENT/CEO)
(248) 293-2400
Entity
Organization
Contact information
Practice address
4889 SINCLAIR ROAD SUITE 109, COLUMBUS, OH 43229-5432
(614) 297-4757
(614) 781-1497
Mailing address
1715 NORTHFIELD DRIVE, ROCHESTER HILLS, MI 48309-3819
(248) 293-2418
(248) 293-2401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063714
—
OH
05
—
5451846
—
OH
Enumeration date
09/19/2008
Last updated
10/27/2016
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