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Organization

GOLDEN YEARS SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANIKAY PONTOON CNA (FOUNDER & DIRECTOR)
(706) 901-7670
Entity
Organization

Contact information

Practice address
541 ROSERIDGE DR, BLYTHEWOOD, SC 29016-6701
(901) 706-7670
Mailing address
541 ROSERIDGE DR, BLYTHEWOOD, SC 29016-6701
(901) 706-7670

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
03/16/2026
Last updated
03/16/2026
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