Organization
HEART OF GOLD HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL YATES (OWNER/LPN)
(843) 909-4713
Entity
Organization
Contact information
Practice address
200 FOXHALL DRIVE, LEXINGTON, SC 29073-8184
(843) 909-4713
Mailing address
200 FOXHALL DRIVE, LEXINGTON, SC 29073-8184
(843) 909-4713
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
P48803
SC
251J00000X
Nursing Care Agency
P48803
SC
253Z00000X
In Home Supportive Care Agency
P48803
SC
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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