Provider Demographics
NPI:1053600692
Name:GUARDIAN CARE OF PALM BEACH
Entity type:Organization
Organization Name:GUARDIAN CARE OF PALM BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCASSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-865-5023
Mailing Address - Street 1:7100 CAMINO REAL STE 302-5
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5510
Mailing Address - Country:US
Mailing Address - Phone:561-865-5023
Mailing Address - Fax:561-865-5148
Practice Address - Street 1:7100 CAMINO REAL STE 302-5
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-865-5023
Practice Address - Fax:561-865-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health