Organization
GOLDEN YEARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBY F WIMGERLY (OWNER)
(478) 743-3587
Entity
Organization
Contact information
Practice address
371 RIVER NORTH BLVD, MACON, GA 31211-6017
(478) 345-0162
(478) 745-1895
Mailing address
371 RIVER NORTH BLVD, MACON, GA 31211-6017
(478) 365-0162
(478) 745-1895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
084-R-0412
GA
251J00000X
Nursing Care Agency
084-R-0412
GA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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