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NPI Code Detail

MEDICARE: GOLDEN RULE HOME HEALTH CARE PLUS LLC

MEDICARE: GOLDEN RULE HOME HEALTH CARE PLUS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1689979429
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN RULE HOME HEALTH CARE PLUS LLC
Provider Business Mailing Address
First Line : 5150 E MAIN ST
Second Line : SUITE 204
City : COLUMBUS
State : OH
Zip : 43213-2441
Country : US
Telephone Number : 614-322-9606
Fax Number : 614-322-9607
Provider Business Practice Location Address
First Line : 5150 E MAIN ST
Second Line : SUITE 204
City : COLUMBUS
State : OH
Zip : 43213-2441
Country : US
Telephone Number : 614-322-9606
Fax Number : 614-322-9607
Authorized Official
Title or Position : CFO
Name : EDIT GRAYFER
Credential :
Telephone Number : 614-322-9606
Provider Enumeration Date : 01/25/2011
Last Update Date : 01/25/2011

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