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Organization

GOLDEN AGE RAINBOW SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ACQUIRNETA DARNELL MCNAIR CNA (OWNER)
(704) 333-7583
Entity
Organization

Contact information

Practice address
1300 BAXTER ST, SUITE 240, CHARLOTTE, NC 28204-3053
(704) 333-7583
(704) 333-7605
Mailing address
1300 BAXTER STREET, SUITE 240, CHARLOTTE, NC 28204
(704) 333-7583
(704) 333-7605

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2275
NC
3416L0300X
Land Ambulance
Primary
HC2275
NC
385HR2065X
Child Physical Disabilities Respite Care
HC2275
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093868846
NC
Enumeration date
01/18/2007
Last updated
09/11/2025
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