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Mr. Israel Guajardo
Home Health Agency in Grant, Michigan
NPI 1740691922

Israel Guajardo is a Home Health Agency based in Grant, MI. Israel Guajardo practices in Grant, MI. The NPI Number for Israel Guajardo is 1740691922 and holds a License No. (Michigan).

The current practice location address for Israel Guajardo is 4097 E 104Th St, Grant, MI and can be reached out via phone at 231-224-3377 and via fax at 231-834-5031.

Location: 4097 E 104Th St, Grant, MI, 49327-8696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740691922
Provider Name
Israel Guajardo
Credential
Provider Entity Type
Individual
Gender
Male
Address
4097 E 104Th St, Grant, MI, 49327-8696
Phone Number
231-224-3377
Fax Number
231-834-5031
Provider Enumeration Date
05/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4097 E 104Th St
City
Grant
State
Michigan
Zip
49327-8696
Phone Number
231-224-3377
Fax Number
231-834-5031
person
Provider Business Mailing Address Details
Address
4097 E 104Th St
City
Grant
State
Michigan
Zip
49327-8696
Phone Number
231-224-3377
Fax Number
231-834-5031
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Michigan)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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