MEDICARE: GOLDEN CARE COMPANION LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1447037981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN CARE COMPANION LLC

Provider Business Mailing Address
First Line	:	445 MAIN ST STE 2
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-2540
Country	:	US
Telephone Number	:	207-298-7021
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 MAIN ST STE 2
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-2540
Country	:	US
Telephone Number	:	207-298-7021
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHAMMED AL SULTANI
Credential	:
Telephone Number	:	207-298-7021

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	09/08/2023

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Directions to “GOLDEN CARE COMPANION LLC ” Practice Location

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