Organization
GOLDEN HEART IN HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIDA JAMIE (EXECUTIVE DIRECTOR)
(304) 610-6090
Entity
Organization
Contact information
Practice address
510 4TH ST, SAINT ALBANS, WV 25177-2819
(304) 755-5144
(304) 201-0157
Mailing address
510 4TH ST, SAINT ALBANS, WV 25177-2819
(304) 755-5144
(304) 201-0157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
10515330
WV
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005952
—
WV
Enumeration date
04/17/2007
Last updated
03/26/2010
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