Provider Demographics
NPI:1164870150
Name:GUARDIAN HEALTH AND WELLBEING LLC
Entity Type:Organization
Organization Name:GUARDIAN HEALTH AND WELLBEING LLC
Other - Org Name:GUARDING HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-748-6733
Mailing Address - Street 1:74-710 HWY 111 STE. 102
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260
Mailing Address - Country:US
Mailing Address - Phone:951-451-2412
Mailing Address - Fax:323-694-5126
Practice Address - Street 1:74-710 HWY 111 STE. 102
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:951-451-2412
Practice Address - Fax:323-694-5126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care