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General NPI Number Information
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NPI Number | 1689685687
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOME CARE, LTD.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 536 4TH ST
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City | MARIETTA
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State | OH
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Zip | 45750-1901
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Country | US
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Telephone | 740-236-1663
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Fax | 740-236-4869
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Provider Business Mailing Address
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Address Line | 1378 STONE QUARRY RD
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City | FLEMING
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State | OH
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Zip | 45729-5223
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Country | US
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Telephone | 740-678-7588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MRS. KIMBERLY J KELLY
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Credential |
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Telephone | 740-236-1663
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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 | 1452556
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License Number State | OH
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