| Guardian Care Surgical Psc | |
|
20 Medical Hts Louisa KY 41230-9603 | |
| (606) 638-4822 | |
| (606) 638-4820 |
| Full Name | Guardian Care Surgical Psc |
|---|---|
| Speciality | Clinic/center |
| Location | 20 Medical Hts, Louisa, Kentucky |
| Authorized Official Name and Position | Violet Trout (CEO) |
| Authorized Official Contact | 6066384822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Care Surgical Psc 20 Medical Hts Louisa KY 41230-9603 Ph: (606) 638-4822 | Guardian Care Surgical Psc 20 Medical Hts Louisa KY 41230-9603 Ph: (606) 638-4822 |
| NPI Number | 1639369176 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639369176 | NPI | - | NPPES |
| 64275647 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27564 (Kentucky) | Primary |
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