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Organization

GOLDEN PLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP EWUSI NAJEME (DIRECTOR OF OPERATIONS)
(502) 803-1129
Entity
Organization

Contact information

Practice address
109 ROBERT M GREEN DR, FRANKFORT, KY 40601-8098
(502) 803-1129
Mailing address
109 ROBERT M GREEN DR, FRANKFORT, KY 40601-8098
(502) 803-1129

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
03/19/2010
Last updated
03/19/2010
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