Guardian Home II Alf LLC
NPI #1174707640 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1174707640
- Entity Type
- Organization
- Organization Name
- Guardian Home II Alf LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Mar 3, 2009
Practice Location
- Address
- 902 CANAL ST.
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168
- Phone
- (386) 409-9455
Authorized Official
- Name
- MRS. GLADYS FERNANDO, RN
- Title
- ADMINISTRATOR
- Phone
- (386) 409-9456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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