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General NPI Number Information
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NPI Number | 1316222128
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Entity Type | Organization
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Legal Business Name | GOLDENS ADULT DAYCARE, LLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 671 OAKLAND AVE
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City | HELENA
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State | AR
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Zip | 72342-1503
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Country | US
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Telephone | 870-735-2005
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Fax | 870-735-2025
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Provider Business Mailing Address
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Address Line | 225 N 5TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3212
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Country | US
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Telephone | 870-735-2005
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Fax | 870-735-2025
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Authorized Official
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Title or Position | CEO
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Name | MRS. IRENE MACK
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Credential |
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Telephone | 870-735-2007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 11002
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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