Provider Demographics
NPI:1023694015
Name:O'GUARDIANS, INC
Entity type:Organization
Organization Name:O'GUARDIANS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREAULT
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:404-694-8000
Mailing Address - Street 1:3370 INDIAN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-3254
Mailing Address - Country:US
Mailing Address - Phone:404-694-8000
Mailing Address - Fax:
Practice Address - Street 1:3020 ROSWELL RD STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4987
Practice Address - Country:US
Practice Address - Phone:404-383-0778
Practice Address - Fax:404-865-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care