Organization
GOLDEN YEARS AT HOME, INC.
Active
Other names
SDBS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BRIAN BERLIANT (PRESIDENT)
(773) 278-7500
Entity
Organization
Contact information
Practice address
2451 W MOFFAT ST, CHICAGO, IL 60647-4310
(773) 278-7500
Mailing address
2451 W MOFFAT ST, CHICAGO, IL 60647-4310
(773) 278-7500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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