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GOLDEN ANGELS HOME HEALTHCARE LLC

Managed Care Organizations Point of Service

Provider NPI: 1588065338

Organization Information:
Organization Name:  GOLDEN ANGELS HOME HEALTHCARE LLC
Organization is not Subpart
Authorized Official:  AMBER MARIE STRICK  OWNER, EXECUTIVE DIRECTOR  314-681-7371

Practice Location:
917 N HIGHWAY 67 SUITE 202 FLORISSANT, MO 63031-2939 US
Tel: 314-324-3221  Fax: --

Business Mailing Address:
PO BOX 456  FLORISSANT, MO 63032-0456 US
Tel: --  Fax: --

NPI Information:
NPI: 1588065338
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y305S00000XManaged Care Organizations
Point of Service

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 305S00000X

Type:

Classification:



Definition:



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