Organization
ABSOLUTELY GOLDEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIANA PITTMAN LICENSE PRACTICAL NU (ADMINISTRATOR)
(850) 610-0591
Entity
Organization
Contact information
Practice address
1451 GRIFF ST, CHATTAHOOCHEE, FL 32324-2622
(850) 610-0591
Mailing address
1451 GRIFF ST, CHATTAHOOCHEE, FL 32324-2622
(850) 610-0591
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235592
HOMEMAKER & COMPANION SERVICES
FL
Enumeration date
09/24/2018
Last updated
09/24/2018
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