Organization
GOLDEN AGE HEALTH CARE, INC.
Active
Other names
Alleve Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN SOWAH (ADMINISTRATOR)
(405) 878-8772
Entity
Organization
Contact information
Practice address
2801 N KICKAPOO AVE, SUITE A, SHAWNEE, OK 74804-1709
(405) 878-8775
(405) 878-8776
Mailing address
2801 N KICKAPOO AVE, SUITE A, SHAWNEE, OK 74804-1709
(405) 878-8775
(405) 878-8776
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7455
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095690A
—
OK
Enumeration date
10/03/2005
Last updated
07/10/2008
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