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General NPI Number Information
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NPI Number | 1356531479
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOME HEALTH CARE OF LOUISIANA INC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 3330 W ESPLANADE AVE S STE 505
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City | METAIRIE
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State | LA
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Zip | 70002-3454
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Country | US
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Telephone | 504-828-2294
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Fax | 504-828-2234
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Provider Business Mailing Address
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Address Line | 3330 W ESPLANADE AVE S STE 505
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City | METAIRIE
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State | LA
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Zip | 70002-3454
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Country | US
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Telephone | 504-828-2294
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Fax | 504-828-2234
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | MS. BEVERLY PACELLA ODOM
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Credential |
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Telephone | 50482822294
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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 | 197758
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License Number State | LA
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