Provider Demographics
NPI:1841387180
Name:THE GOLDEN RULE HOME, INC
Entity Type:Organization
Organization Name:THE GOLDEN RULE HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-273-7106
Mailing Address - Street 1:38801 HARDESTY RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-8701
Mailing Address - Country:US
Mailing Address - Phone:405-273-7106
Mailing Address - Fax:405-275-9364
Practice Address - Street 1:38801 HARDESTY RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-8701
Practice Address - Country:US
Practice Address - Phone:405-273-7106
Practice Address - Fax:405-275-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH6308-6308385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care