| Guardiancare Services Llc | |
|
8273 Parori Ln Blacklick OH 43004-8423 | |
| (614) 436-8500 | |
| (614) 569-0250 |
| Full Name | Guardiancare Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8273 Parori Ln, Blacklick, Ohio |
| Authorized Official Name and Position | Shaun Tierre Smart (OWNER/CEO) |
| Authorized Official Contact | 6144368500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardiancare Services Llc 8273 Parori Lane Blacklick OH 43004 Ph: (614) 436-8500 | Guardiancare Services Llc 8273 Parori Ln Blacklick OH 43004-8423 Ph: (614) 436-8500 |
| NPI Number | 1700268026 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700268026 | NPI | - | NPPES |
| 2920129 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2547579 (Ohio) | Primary |
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