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General NPI Number Information
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NPI Number | 1902788664
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Entity Type | Organization
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Legal Business Name | GOLDEN THREAD HOME CARE LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3102 SABA LN
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City | PORT NECHES
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State | TX
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Zip | 77651-5422
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Country | US
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Telephone | 409-288-0961
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 SABA LN
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City | PORT NECHES
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State | TX
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Zip | 77651-5422
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Country | US
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Telephone | 409-288-0961
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LAURA VICTORES WYMAN
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Credential |
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Telephone | 832-580-3955
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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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