Organization
GOLDEN YEARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYPHANEE FITZGERALD (CEO)
(615) 426-1540
Entity
Organization
Contact information
Practice address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 354-7645
Mailing address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 369-0614
(615) 369-0615
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000012172
TN
Other
Enumeration date
12/22/2012
Last updated
12/22/2012
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