Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X |
| NPI # | 1356665376 |
| LBN Legal business name | GOLDEN PLACE LLC |
| Authorized official | PHILLIP NAJEME - (DIRECTOR OF OPERATIONS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/19/2010 |
| Last updated | 03/19/2010 - About 16 years ago |
| Identifiers | n/a |
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