Provider Demographics
NPI:1043595630
Name:GOLDEN LIVING LLC
Entity Type:Organization
Organization Name:GOLDEN LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:252-414-2775
Mailing Address - Street 1:705B HOOKER RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5607
Mailing Address - Country:US
Mailing Address - Phone:252-414-2775
Mailing Address - Fax:
Practice Address - Street 1:705B HOOKER RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5607
Practice Address - Country:US
Practice Address - Phone:252-414-2775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health