# MY GOLDEN YEARS HOME CARE SERVICES INC.

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

## Provider details

- **NPI number:** 1073931549
- **Authorized official:** MR. EPHRAIM KELLY (PRESIDENT)
- **Authorized official phone:** (267) 444-9049

## Contact information

- **Practice address:** 8814 BLUE GRASS RD, PHILADELPHIA, PA 19152-1302
- **Practice address phone:** (267) 444-9049
- **Practice address fax:** (215) 839-1132
- **Mailing address:** PO BOX 52113, PHILADELPHIA, PA 19115-7113
- **Mailing address phone:** (267) 888-6240
- **Mailing address fax:** (215) 839-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 24673601 | PA | Yes |

## Other

- **Enumeration date:** 04/02/2014
- **Last updated:** 04/02/2014