Organization
GOLDEN YEARS SENIOR CARE, INC.
Active
Other names
GRANNY NANNIES
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY WOGHIREN (ADMINISTRATOR)
(772) 807-8666
Entity
Organization
Contact information
Practice address
7440 S US HIGHWAY 1, MARLIN PROFESSIONAL CENTRE, PORT ST LUCIE, FL 34952-1417
(772) 807-8666
(772) 807-8866
Mailing address
7440 S US HIGHWAY 1, MARLIN PROFESSIONAL CENTRE, PORT ST LUCIE, FL 34952-1417
(772) 807-8666
(772) 807-8866
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690988400
—
FL
Enumeration date
10/10/2012
Last updated
10/10/2012
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