Provider Demographics
NPI:1821253659
Name:GOLDEN ANGELS NETWORK
Entity Type:Organization
Organization Name:GOLDEN ANGELS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:717-896-8896
Mailing Address - Street 1:71 HILL DR
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-9516
Mailing Address - Country:US
Mailing Address - Phone:717-896-8896
Mailing Address - Fax:
Practice Address - Street 1:71 HILL DR
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-9516
Practice Address - Country:US
Practice Address - Phone:717-896-8896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA84501306251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health