Organization
GOLDEN STATE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN RAMISCAL DANNUG PH.D IN MANAGEMENT (CHIEF FINANCE OFFICER)
(510) 925-5543
Entity
Organization
Contact information
Practice address
22527 MAIN ST STE 206, HAYWARD, CA 94541-4134
(510) 606-9902
(510) 454-8520
Mailing address
22527 MAIN ST STE 206, HAYWARD, CA 94541-4134
(510) 606-9902
(510) 454-8520
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
550001972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073881819
—
CA
Enumeration date
08/22/2018
Last updated
08/22/2018
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