Organization
GOLDEN YEARS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY S. LONG (DIRECTOR)
(270) 432-2044
Entity
Organization
Contact information
Practice address
770 INDUSTRIAL DR, EDMONTON, KY 42129-8944
(270) 432-2044
Mailing address
PO BOX 210, EDMONTON, KY 42129-0210
(270) 432-2044
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861676421
—
KY
Enumeration date
12/07/2015
Last updated
09/13/2021
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