Organization
GOLDEN'S HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KANISHA MORINE LYONS (CEO)
(217) 850-5885
Entity
Organization
Contact information
Practice address
2354 CITICO DR APT 101, CORDOVA, TN 38016-7682
(217) 850-5885
Mailing address
2354 CITICO DR APT 101, CORDOVA, TN 38016-7682
(217) 850-5885
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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