Organization
GOLDEN YEARS HOMECARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL NIMAN (MANAGER)
(267) 239-2199
Entity
Organization
Contact information
Practice address
2679 ARAMINGO AVE UNIT 1, PHILADELPHIA, PA 19125-2331
(267) 239-2199
(215) 893-1778
Mailing address
2679 ARAMINGO AVE UNIT 1, PHILADELPHIA, PA 19125-2331
(267) 239-2199
(215) 893-1778
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034777100001
—
PA
Enumeration date
01/28/2019
Last updated
01/28/2019
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