Organization
GOLDEN VACATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIBBY ANN ADAMS M.B.A. (OWNER)
(805) 304-3702
Entity
Organization
Contact information
Practice address
5066 HIDDEN PARK CT, B-106, SIMI VALLEY, CA 93063-7611
(805) 304-3702
Mailing address
5066 HIDDEN PARK CT, B-106, SIMI VALLEY, CA 93063-7611
(805) 304-3702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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