Organization
GOLDEN HERITAGE ADULT DAY SERVICES
Active
Other names
Golden Heritage Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN HENRY (OWNER/ADMINISTRATOR)
(662) 719-9886
Entity
Organization
Contact information
Practice address
208 N RUBY AVE, RULEVILLE, MS 38771-3942
(662) 719-9886
Mailing address
PO BOX 365, RULEVILLE, MS 38771-0365
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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