# GOLDEN YEARS HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1134848377
- **Authorized official:** MRS. EBONY LAWRENCE (OWNER)
- **Authorized official phone:** (757) 917-0189

## Contact information

- **Practice address:** 5384 KINGSWELL DR, NORFOLK, VA 23502-2341
- **Practice address phone:** (757) 917-0189
- **Mailing address:** 5384 KINGSWELL DR, NORFOLK, VA 23502-2341
- **Mailing address phone:** (757) 917-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2022
- **Last updated:** 08/23/2022
