Provider Demographics
NPI:1235398215
Name:GUARDIAN CARE CENTER
Entity Type:Organization
Organization Name:GUARDIAN CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-276-6774
Mailing Address - Street 1:431 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2506
Mailing Address - Country:US
Mailing Address - Phone:541-276-6774
Mailing Address - Fax:541-276-1486
Practice Address - Street 1:431 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2506
Practice Address - Country:US
Practice Address - Phone:541-276-6774
Practice Address - Fax:541-276-1486
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UMATILLA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management