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General NPI Number Information
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NPI Number | 1356540751
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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 | 07/16/2007
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 2825 ATHANIA PKWY
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City | METAIRIE
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State | LA
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Zip | 70002-5905
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Country | US
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Telephone | 504-831-3044
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Fax | 504-831-5696
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Provider Business Mailing Address
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Address Line | 3510 NORTH CAUSEWAY BLVD 501A
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-831-3044
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Fax | 504-831-5696
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BEVERLY P ODOM
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Credential |
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Telephone | 504-831-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 243
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License Number State | LA
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