Organization
GOLDEN GATES HOMECARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MOORE CANADY (MEMBER/PRESIDENT)
(910) 388-6976
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, SUITE 165, JACKSONVILLE, NC 28546-6311
(910) 388-6976
Mailing address
200 VALENCIA DR, SUITE 165, JACKSONVILLE, NC 28546-6311
(910) 388-6976
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4466
NC
253Z00000X
In Home Supportive Care Agency
HC4466
NC
Other
Enumeration date
10/18/2011
Last updated
10/19/2011
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