- Enrollment id
- O20031201000487
- Enrollment state
- FL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1336158914
- Multiple npi flag
- N
- Ccn
- 108020
- Associate id
- 0143125484
- Organization name
- GUARDIAN CARE SERVICES OF BROWARD, INC.
- Incorporation date
- 2003-02-14
- Incorporation state
- FL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3350 SW 148TH AVE
- Address line 2
- STE 117
- City
- MIRAMAR
- State
- FL
- Zip code
- 330273257