# GOLDEN YEARS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073854725
- **Authorized official:** TIFFANY LOWERY C.NA (OWER/CEO)
- **Authorized official phone:** (318) 344-2530

## Contact information

- **Practice address:** 2707 S EMPORIA ST, 1103, WICHITA, KS 67216-4772
- **Practice address phone:** (318) 344-2530
- **Mailing address:** 2707 S EMPORIA ST, 1103, WICHITA, KS 67216-4772
- **Mailing address phone:** (318) 344-2530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 6822662 | KS | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013