Organization
GOLDEN PATH HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOSIA KING (OWNER)
(262) 748-2596
Entity
Organization
Contact information
Practice address
7577 N TEUTONIA AVE, MILWAUKEE, WI 53209-2041
(414) 236-5208
(414) 236-5648
Mailing address
7577 N TEUTONIA AVE, MILWAUKEE, WI 53209-2041
(414) 236-5208
(414) 236-5648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032184
—
WI
Enumeration date
03/21/2017
Last updated
03/29/2021
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