Organization
GOLDENSTATE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA JONES (ADMINISTRATOR/OWNER)
(813) 527-7015
Entity
Organization
Contact information
Practice address
2916 DUDLEY DR, BARTOW, FL 33830-8808
(813) 527-7015
Mailing address
2916 DUDLEY DR, BARTOW, FL 33830-8808
(813) 527-7015
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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