Provider Demographics
NPI:1003498908
Name:GOLDEN HEALTH CARE & MENTAL DEVELOPMENT INC
Entity Type:Organization
Organization Name:GOLDEN HEALTH CARE & MENTAL DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYULIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDOSO CESPEDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-848-9823
Mailing Address - Street 1:603 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-4540
Mailing Address - Country:US
Mailing Address - Phone:239-848-9823
Mailing Address - Fax:
Practice Address - Street 1:603 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-4540
Practice Address - Country:US
Practice Address - Phone:239-848-9823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty