NPI 1588477863
Guardian Cove LLC
Practice location
- Address
- 11205 Creekview Dr, Riverview, FL 33569-5157
- Phone
- (727) 337-0108
- Mailing address
- 13611 Ashlar Slate Pl, Riverview, FL 33579-2140
Authorised official
- Name
- Ijeoma Muforo
- Title
- Program Director
- Phone
- (813) 401-0612
Registered specialties (3)
Foster Care Agency
Primary
Community/Behavioral Health Agency
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1588477863
- Entity type
- Organization
- NPI issued
- 30 Jan 2025
- Record last updated
- 30 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.