Provider Demographics
NPI:1740448364
Name:GUARDIAN INC
Entity type:Organization
Organization Name:GUARDIAN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-963-3253
Mailing Address - Street 1:18 MICHIGAN AVE W
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3600
Mailing Address - Country:US
Mailing Address - Phone:269-963-3253
Mailing Address - Fax:269-966-2485
Practice Address - Street 1:18 MICHIGAN AVE W
Practice Address - Street 2:SUITE 300
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3600
Practice Address - Country:US
Practice Address - Phone:269-963-3253
Practice Address - Fax:269-966-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare