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General NPI Number Information
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NPI Number | 1811256175
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Entity Type | Organization
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Legal Business Name | GOLDEN HOME HEALTH CARE AGENCY, INC.
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/08/2012
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Provider Practice Location Address
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Address Line | 154 SOUTH ST
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City | BELLEVILLE
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State | MI
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Zip | 48111-2939
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Country | US
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Telephone | 734-697-0888
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Fax | 734-697-1338
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Provider Business Mailing Address
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Address Line | 154 SOUTH ST
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City | BELLEVILLE
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State | MI
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Zip | 48111-2939
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Country | US
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Telephone | 734-697-0888
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Fax | 734-697-1338
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MS. KATHRYN JOANN ROBINSON
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Credential | RN, BSN, MA
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Telephone | 313-377-7929
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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 |
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License Number State | MI
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