Organization
GOLDEN YEARS HOMECARE SPECIALIST INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN CUNIGAN (ADMINISTRATOR)
(903) 873-2770
Entity
Organization
Contact information
Practice address
106 N 4TH ST, WILLS POINT, TX 75169-2041
(903) 873-2770
(903) 873-6291
Mailing address
106 N 4TH ST, WILLS POINT, TX 75169-2041
(903) 873-2770
(903) 873-6291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120974
—
TX
Enumeration date
09/20/2006
Last updated
10/27/2015
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