Organization
GOLDEN ARC HOMECARE SOLUTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY DANILLIE ROGERS (CEO)
(850) 525-0696
Entity
Organization
Contact information
Practice address
196 E NINE MILE RD STE D, PENSACOLA, FL 32534-3119
(850) 525-0696
(850) 525-0696
Mailing address
PO BOX 845, GONZALEZ, FL 32560-0845
(850) 525-0696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994727
FL
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024258500
—
FL
Enumeration date
01/09/2018
Last updated
10/04/2021
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