Healthcare Provider Details

I. General information

NPI: 1871829861
Provider Name (Legal Business Name): GOLDENCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1197 ARMORY ROAD
CHESTER SC
29706
US

IV. Provider business mailing address

403 W MEETING ST
LANCASTER SC
29720-2321
US

V. Phone/Fax

Practice location:
  • Phone: 803-581-7512
  • Fax:
Mailing address:
  • Phone: 803-416-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberADC-0233
License Number StateSC

VIII. Authorized Official

Name: SUSAN BOWERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-416-8000