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General NPI Number Information
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NPI Number | 1033056791
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Entity Type | Organization
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Legal Business Name | GOLDEN HEART ADULT CARE SERVICES
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 553 CLARK ST
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City | N FORT MYERS
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State | FL
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Zip | 33903-3311
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Country | US
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Telephone | 239-244-5359
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Fax | 239-244-5359
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Provider Business Mailing Address
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Address Line | 553 CLARK ST
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City | N FORT MYERS
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State | FL
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Zip | 33903-3311
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Country | US
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Telephone | 239-244-5359
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Fax | 239-244-5359
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR OFFICER
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Name | GAUDIE SIERRA
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Credential | SIERRA
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Telephone | 239-244-5359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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