Organization
GOLDENWAY CLUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENISHA CAMPBELL (OWNER/CEO)
(910) 670-0126
Entity
Organization
Contact information
Practice address
6714 HIGHWAY 85, RIVERDALE, GA 30274-2383
(877) 723-2490
Mailing address
1059 SOAPSTONE LN, RIVERDALE, GA 30296-1561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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