Provider Demographics
NPI:1629376868
Name:GUARDIAN ADLITIEM HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:GUARDIAN ADLITIEM HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:706-664-7383
Mailing Address - Street 1:3350 PEACH ORCHARD RD STE 807
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-5932
Mailing Address - Country:US
Mailing Address - Phone:706-664-8373
Mailing Address - Fax:
Practice Address - Street 1:3350 PEACH ORCHARD RD STE 807
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-5932
Practice Address - Country:US
Practice Address - Phone:706-664-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCB20110000312251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health