# GOLDEN GIRLS HOMECARE

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

## Provider details

- **NPI number:** 1336680206
- **Authorized official:** MS. KIM M GRAY LPN (OWNER)
- **Authorized official phone:** (607) 316-9931

## Contact information

- **Practice address:** 116 MARTINSON LANE, OXFORD, NY 13830-0177
- **Practice address phone:** (607) 316-9931
- **Mailing address:** PO BOX 177, 116 MARTINSON LANE, OXFORD, NY 13830-0177
- **Mailing address phone:** (607) 316-9931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 146323-1 | NY | Yes |

## Other

- **Enumeration date:** 03/13/2017
- **Last updated:** 03/13/2017