Organization
MY GOLDEN YEARS HOME CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHRAIM KELLY (PRESIDENT)
(267) 444-9049
Entity
Organization
Contact information
Practice address
8814 BLUE GRASS RD, PHILADELPHIA, PA 19152-1302
(267) 444-9049
(215) 839-1132
Mailing address
PO BOX 52113, PHILADELPHIA, PA 19115-7113
(267) 888-6240
(215) 839-1132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24673601
PA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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