Organization
GOLDEN OAKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH HOUSTON KIMBROUGH OWNER (OWNER)
(660) 886-6172
Entity
Organization
Contact information
Practice address
RR 1 BOX 19, MARSHALL, MO 65340-9508
(660) 886-6172
(660) 886-7599
Mailing address
RR 1 BOX 19, MARSHALL, MO 65340-9508
(660) 886-6172
(660) 886-7599
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033694
MO
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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