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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