Organization
GOLDEN YEARS CARE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE CISNEROS (OWNER)
(435) 764-0729
Entity
Organization
Contact information
Practice address
7508 S TRAVERTINE RD, WEST JORDAN, UT 84081-4786
(435) 764-0729
Mailing address
7508 S TRAVERTINE RD, WEST JORDAN, UT 84081-4786
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
04/26/2023
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