Organization
GOLDEN LIFE IN HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADONNA THOMAS RN (ADMINISTRATOR)
(904) 521-0088
Entity
Organization
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(816) 336-1593
Mailing address
8846 CRESCENT AVE, KANSAS CITY, MO 64138-4714
(904) 521-0088
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2021
Last updated
04/09/2021
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