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General NPI Number Information
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NPI Number | 1386074565
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS RETIREMENT CORP.
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 441 E CENTRAL AVENUE
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 863-294-9141
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Fax | 863-808-5790
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Provider Business Mailing Address
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Address Line | 441 E CENTRAL AVENUE
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 863-294-9141
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Fax | 863-808-5790
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Authorized Official
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Title or Position | OWNER
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Name | MARK ALLEN ARQUITT
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Credential |
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Telephone | 863-294-9141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 231001
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994096
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License Number State | FL
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