Organization
GOLDEN PATH SERVICES II, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOSIA KING (PRESIDENT)
(262) 748-2596
Entity
Organization
Contact information
Practice address
1122 GROVE AVE, RACINE, WI 53405-3028
(262) 748-2596
Mailing address
11019 W VILLA AVE, MILWAUKEE, WI 53224-2590
(262) 748-2596
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
03/29/2021
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