Organization
GOLDEN YEARS ADVOCATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY BURNETT (MANAGING MEMBER)
(313) 790-0701
Entity
Organization
Contact information
Practice address
26677 W. 12 MILE RD., SOUTHFIELD, MI 48034
(248) 447-7955
(248) 447-7956
Mailing address
26677 W. 12 MILE RD., SOUTHFIELD, MI 48034
(248) 447-7955
(248) 447-7956
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246023
—
MI
Enumeration date
02/03/2009
Last updated
04/21/2015
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