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General NPI Number Information
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NPI Number | 1659292597
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Entity Type | Organization
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Legal Business Name | GOLDEN CREST CARE SERVICES LLC.
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 7901 MONTWOOD ROD
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City | WINDSOR MILL
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State | MD
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Zip | 21244
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Country | US
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Telephone | 443-825-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 MONTWOOD ROD
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City | WINDSOR MILL
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State | MD
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Zip | 21244
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Country | US
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Telephone | 443-825-5006
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. OLABODE MUSIBAU QUADRI
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Credential | CEO
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Telephone | 443-825-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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