Organization
GOLDEN YEARS COMPANION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL L GRAY (PRESIDENT)
(312) 447-0034
Entity
Organization
Contact information
Practice address
1300 S WABASH AVE, SUITE 205, CHICAGO, IL 60605-2547
(312) 447-0034
(312) 447-0036
Mailing address
1300 S WABASH AVE, SUITE 205, CHICAGO, IL 60605-2547
(312) 447-0034
(312) 447-0036
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3000650
IL
Other
Enumeration date
04/19/2012
Last updated
03/31/2017
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