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NPI Code Detail

MEDICARE: GOLDEN PATIENT CARE SERVICES, INC

MEDICARE: GOLDEN PATIENT CARE SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencySIL 20177LA

General Provider Information

NPI Number : 1023303021
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN PATIENT CARE SERVICES, INC
Provider Business Mailing Address
First Line : 7505 PINES RD STE 1160
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-3924
Country : US
Telephone Number : 318-703-4779
Fax Number : 318-918-1258
Provider Business Practice Location Address
First Line : 7505 PINES RD STE 1160
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-3924
Country : US
Telephone Number : 318-703-4779
Fax Number : 318-918-1258
Authorized Official
Title or Position : COO
Name : SANDRA MARIE WILLIAMS
Credential : RN
Telephone Number : 318-703-4779
Provider Enumeration Date : 06/17/2011
Last Update Date : 06/17/2011

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Directions to “GOLDEN PATIENT CARE SERVICES, INC ” Practice Location

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