Organization Name: | GOLDEN PATIENT CARE SERVICES, INC |
NPI Number: | 1023303021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA MARIE WILLIAMS (COO) |
Mailing Address: | 7505 Pines Rd Ste 1160 Shreveport |
State: | LA US |
Postal Code: | 711293924 |
Phone Number: | 3187034779 |
Fax Number: | 3189181258 |
NPI Enumeration Date: | 06/17/2011 |
NPI Last Update Date: | 06/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | SIL 20177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |