Organization
GOLDEN MILES HOME SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE WEEDEN (MANAGER)
(601) 955-2387
Entity
Organization
Contact information
Practice address
203 MONTGOMERY DR, EDWARDS, MS 39066-8913
(601) 955-2387
Mailing address
PO BOX 312, EDWARDS, MS 39066-0312
(601) 955-2387
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ED-IHR18086
—
MS
05
—
ED-PCS18082
—
MS
Enumeration date
08/10/2018
Last updated
08/10/2018
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