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Organization

GOLDEN YEARS HOME HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KRISTIE LEA CANNON (OWNER)
(580) 371-0554
Entity
Organization

Contact information

Practice address
112 W MAIN ST, TISHOMINGO, OK 73460-1723
(580) 371-0554
Mailing address
112 W MAIN ST, TISHOMINGO, OK 73460-1723
(580) 371-0554

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7949
OK

Other

Enumeration date
06/21/2010
Last updated
06/21/2010
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