# HEART OF GOLD SENIOR SERVICES

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

## Provider details

- **NPI number:** 1114349263
- **Authorized official:** LISA ANN WADE (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (863) 595-8927

## Contact information

- **Practice address:** 209 FERN RD, WINTER HAVEN, FL 33880-1308
- **Practice address phone:** (863) 595-8927
- **Practice address fax:** (863) 229-5360
- **Mailing address:** 209 FERN RD, WINTER HAVEN, FL 33880-1308
- **Mailing address phone:** (863) 595-8927
- **Mailing address fax:** (863) 229-5360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 233063 | FL | Yes |

## Other

- **Enumeration date:** 01/08/2014
- **Last updated:** 01/08/2014