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General NPI Number Information
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NPI Number | 1336158914
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Entity Type | Organization
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Legal Business Name | GUARDIAN CARE SERVICES OF BROWARD, INC.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 6941 SW 196TH AVE STE 7
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City | FORT LAUDERDALE
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State | FL
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Zip | 33332-1615
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Country | US
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Telephone | 305-498-2664
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Fax | 954-499-7009
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Provider Business Mailing Address
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Address Line | 6941 SW 196TH AVE STE 7
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City | FORT LAUDERDALE
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State | FL
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Zip | 33332-1615
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Country | US
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Telephone | 954-438-0005
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Fax | 954-499-7009
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Authorized Official
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Title or Position | PRESIDENT
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Name | MADELEYN M BLOODWORTH
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Credential |
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Telephone | 305-498-2664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299991810
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License Number State | FL
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