MEDICARE: GAURDIAN HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		PA

General Provider Information

NPI Number	:	1548712136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAURDIAN HEALTH SERVICES

Provider Business Mailing Address
First Line	:	145 GWYNMONT DR
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1812
Country	:	US
Telephone Number	:	215-699-6501
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 GWYNMONT DR
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1812
Country	:	US
Telephone Number	:	215-699-6501
Fax Number	:

Authorized Official
Title or Position	:	CEO/ PRESIDENT
Name	:	MR. YOGESH M PATEL
Credential	:
Telephone Number	:	215-699-6501

Provider Enumeration Date	:	10/29/2016
Last Update Date	:	10/29/2016

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