# GOLDEN EVOLUTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurturing Nest MIHP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992184170
- **Authorized official:** LANITA GORDYPULLIAM (OWNER)
- **Authorized official phone:** (248) 403-4576

## Contact information

- **Practice address:** 15700 W 10 MILE RD, SUITE 115, SOUTHFIELD, MI 48075-2149
- **Practice address phone:** (248) 281-3477
- **Practice address fax:** (248) 281-5487
- **Mailing address:** 15700 W 10 MILE RD, SUITE 115, SOUTHFIELD, MI 48075-2149
- **Mailing address phone:** (248) 281-3477
- **Mailing address fax:** (248) 281-5487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2015
- **Last updated:** 03/07/2017