Organization
GOLDEN LIVING HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIYE ENADEGHE RN (CEO/ ADMINISTRATOR)
(678) 497-5324
Entity
Organization
Contact information
Practice address
5173 ROSEWOOD PL, FAIRBURN, GA 30213-5116
(678) 497-5324
Mailing address
5173 ROSEWOOD PL, FAIRBURN, GA 30213-5116
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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