Organization
GOLAN HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA S KUSI RN (ADMINISTRATOR,CEO)
(757) 634-6708
Entity
Organization
Contact information
Practice address
9508 VIBURNUM DR, TOANO, VA 23168-9084
(757) 634-6708
Mailing address
9508 VIBURNUM DR, TOANO, VA 23168-9084
(757) 634-6708
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/23/2024
Last updated
05/16/2025
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