Provider Demographics
NPI:1073754826
Name:GOLDEN CHOICE HOME HEALTH AGENCY L.L.C.
Entity Type:Organization
Organization Name:GOLDEN CHOICE HOME HEALTH AGENCY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DALLEMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-585-2804
Mailing Address - Street 1:4014 GULFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5593
Mailing Address - Country:US
Mailing Address - Phone:214-585-2804
Mailing Address - Fax:972-412-9063
Practice Address - Street 1:4014 GULFVIEW DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-5593
Practice Address - Country:US
Practice Address - Phone:214-585-2804
Practice Address - Fax:972-412-9063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-07
Last Update Date:2009-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health