| NPI | 1922066679 |
|---|---|
| Doing Business As | MDC GOLDENROD |
| Entity Type | Organization |
| Authorized Contact | DAVID HEUSINKVELD Executive Director 574-533-9720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |