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General NPI Number Information
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NPI Number | 1871252486
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Entity Type | Organization
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Legal Business Name | GOLDENCARE 4 U HOME HEALTH AGENCY CORP
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 11595 KELLY ROAD BLDG 100 SUITE 119
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City | FORT MYERS
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State | FL
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Zip | 33908
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Country | US
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Telephone | 239-689-1498
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Fax | 239-689-1727
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Provider Business Mailing Address
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Address Line | 11595 KELLY ROAD BLDG 100 SUITE 119
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City | FORT MYERS
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State | FL
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Zip | 33908
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Country | US
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Telephone | 239-689-1498
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Fax | 239-689-1727
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | YUSEL A VIEITES CELESTINO
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Credential |
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Telephone | 239-689-1498
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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 |
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