Provider Demographics
NPI:1184868200
Name:TARHEEL GUARDIAN CARE
Entity Type:Organization
Organization Name:TARHEEL GUARDIAN CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-501-6175
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-0735
Mailing Address - Country:US
Mailing Address - Phone:704-501-6175
Mailing Address - Fax:704-288-0837
Practice Address - Street 1:3194 LEE LAWING RD
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-8111
Practice Address - Country:US
Practice Address - Phone:704-501-6175
Practice Address - Fax:704-288-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health