Provider Demographics
NPI:1770137572
Name:GUARDIAN DAY HEALTHCARE FOR SENIORS LLC
Entity type:Organization
Organization Name:GUARDIAN DAY HEALTHCARE FOR SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-295-5371
Mailing Address - Street 1:2511 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-2329
Mailing Address - Country:US
Mailing Address - Phone:407-205-5142
Mailing Address - Fax:
Practice Address - Street 1:2511 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-2329
Practice Address - Country:US
Practice Address - Phone:407-205-5142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care