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Organization

GOLD STREET CORPORATION

Active
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Organization

GOLD STREET CORPORATION

Active
Other names
Seniority Lifecare at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IRA J USLANDER (GENERAL MANAGER)
(209) 532-4500
Entity
Organization

Contact information

Practice address
11 S WASHINGTON ST, SUITE 200, SONORA, CA 95370-4717
(209) 532-4500
Mailing address
11 S WASHINGTON ST, SUITE 200, SONORA, CA 95370-4717
(209) 532-4500

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
11/21/2012
Last updated
11/21/2012
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