| NPI | 1952173817 |
|---|---|
| Former Legal Business Name | HEART OF GOLDSENIOR HOMECARE LLC |
| Entity Type | Organization |
| Authorized Contact | CHIDINMA GRACE SALAKO Administration 480-749-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-04-18 |