MEDICARE: GUARDIAN HOME HEALTH CARE, PLLC

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		MI

General Provider Information

NPI Number	:	1750611505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN HOME HEALTH CARE, PLLC

Provider Business Mailing Address
First Line	:	17296 WINDFLOWER DR
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-2078
Country	:	US
Telephone Number	:	248-225-3043
Fax Number	:

Provider Business Practice Location Address
First Line	:	28820 SOUTHFIELD RD STE 221
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-2777
Country	:	US
Telephone Number	:	248-809-2403
Fax Number	:	248-809-2602

Authorized Official
Title or Position	:	RN
Name	:	ANNA DORSETTE
Credential	:	REGISTERED NURSE
Telephone Number	:	248-225-3043

Provider Enumeration Date	:	12/29/2009
Last Update Date	:	08/31/2011

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