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General NPI Number Information
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NPI Number | 1104134311
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Entity Type | Organization
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Legal Business Name | GUARDIAN ANGELS HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 8557 SYLVANIA METAMORA RD
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City | SYLVANIA
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State | OH
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Zip | 43560-9629
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Country | US
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Telephone | 419-882-8222
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Fax | 419-882-8419
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Provider Business Mailing Address
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Address Line | 8557 SYLVANIA METAMORA RD
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City | SYLVANIA
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State | OH
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Zip | 43560-9629
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Country | US
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Telephone | 419-882-8222
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Fax | 419-882-8419
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Authorized Official
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Title or Position | OWNER - DIRECTOR
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Name | MS. SHAREE H YOUSSEF
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Credential |
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Telephone | 419-882-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 1528959
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License Number State | OH
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