Organization
GOLDEN PATH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOSIA KING (PRESIDENT)
(262) 748-2596
Entity
Organization
Contact information
Practice address
1700 NORTH MAIN STREET, UPPER, RACINE, WI 53402
(262) 229-8020
Mailing address
1700 NORTH MAIN STREET, UPPER, RACINE, WI 53402
(262) 229-8020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
09/15/2018
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