Provider Demographics
NPI:1447420435
Name:GUARDIAN RESOURCES, INC.
Entity Type:Organization
Organization Name:GUARDIAN RESOURCES, INC.
Other - Org Name:GUARDIAN HEALTHCARE SERVICES (RSA)
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NNUOLA
Authorized Official - Middle Name:CHIKERENMA
Authorized Official - Last Name:CHIJIOKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,
Authorized Official - Phone:410-488-3990
Mailing Address - Street 1:22 CODY AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-1376
Mailing Address - Country:US
Mailing Address - Phone:410-488-3990
Mailing Address - Fax:410-488-3550
Practice Address - Street 1:22 CODY AVE
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-1376
Practice Address - Country:US
Practice Address - Phone:410-488-3990
Practice Address - Fax:410-488-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2522251J00000X
MD0601002251J00000X
MD30AL2925310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility