# GOLDEN YEARS

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

## Provider details

- **NPI number:** 1255617916
- **Authorized official:** MRS. RUBY F WIMGERLY (OWNER)
- **Authorized official phone:** (478) 743-3587

## Contact information

- **Practice address:** 371 RIVER NORTH BLVD, MACON, GA 31211-6017
- **Practice address phone:** (478) 345-0162
- **Practice address fax:** (478) 745-1895
- **Mailing address:** 371 RIVER NORTH BLVD, MACON, GA 31211-6017
- **Mailing address phone:** (478) 365-0162
- **Mailing address fax:** (478) 745-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 084-R-0412 | GA | Yes |
| 251J00000X | Nursing Care Agency | 084-R-0412 | GA | — |

## Other

- **Enumeration date:** 10/26/2011
- **Last updated:** 10/26/2011