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Organization
GOLDEN STATE HOME HEALTH, LLC
Active
Organization
GOLDEN STATE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN RAMISCAL DANNUG PH.D IN MANAGEMENT (CHIEF FINANCE OFFICER)
(510) 925-5543
Entity
Organization
Contact information
Practice address
22527 MAIN ST STE 206, HAYWARD, CA 94541-4134
(510) 606-9902
(510) 454-8520
Mailing address
22527 MAIN ST STE 206, HAYWARD, CA 94541-4134
(510) 606-9902
(510) 454-8520
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
550001972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073881819
—
CA
Enumeration date
08/22/2018
Last updated
08/22/2018
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