Organization
GOLDEN MOMENTS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THELMA GOLDEN WILLIAMS RN (OWNER)
(731) 217-7888
Entity
Organization
Contact information
Practice address
201 AIRWAYS BLVD, JACKSON, TN 38301-5800
(731) 217-7888
Mailing address
201 AIRWAYS BLVD, JACKSON, TN 38301-5800
(731) 217-7888
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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