Organization
GOLDEN YEARS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY LOWERY C.NA (OWER/CEO)
(318) 344-2530
Entity
Organization
Contact information
Practice address
2707 S EMPORIA ST, 1103, WICHITA, KS 67216-4772
(318) 344-2530
Mailing address
2707 S EMPORIA ST, 1103, WICHITA, KS 67216-4772
(318) 344-2530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
6822662
KS
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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