Organization
GOLDEN LIFE FAMILY CARE HOME, LLC.
Active
Parent organization
GOLDEN LIFE FAMILY CARE HOME, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN LIFE FAMILY CARE HOME, LLC.
Authorized official
ASHLEY NICOLE CRATCH (ADMINISTRATOR)
(252) 208-8479
Entity
Organization
Contact information
Practice address
1002 WESTMINSTER LN, KINSTON, NC 28501-2766
(252) 208-8479
Mailing address
PO BOX 674, KINSTON, NC 28502-0674
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
FCL054072
NC
251K00000X
Public Health or Welfare Agency
FCL054072
NC
253J00000X
Foster Care Agency
FCL054072
NC
253Z00000X
In Home Supportive Care Agency
Primary
FCL054072
NC
292200000X
Dental Laboratory
FCL054072
NC
3104A0625X
Assisted Living Facility (Mental Illness)
FCL054072
NC
311ZA0620X
Adult Care Home Facility
FCL054072
NC
3140N1450X
Pediatric Skilled Nursing Facility
FCL054072
NC
335G00000X
Medical Foods Supplier
FCL054072
NC
385HR2050X
Respite Care Camp
FCL054072
NC
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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