Provider Demographics
NPI:1538782644
Name:GOLDEN YEARS OF SWFL, INC.
Entity type:Organization
Organization Name:GOLDEN YEARS OF SWFL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JALONDA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:HORNES
Authorized Official - Suffix:
Authorized Official - Credentials:PTA/AD
Authorized Official - Phone:239-265-2227
Mailing Address - Street 1:311 NE 22ND TERRACE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909
Mailing Address - Country:US
Mailing Address - Phone:239-265-2227
Mailing Address - Fax:
Practice Address - Street 1:311 NE 22ND TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-4357
Practice Address - Country:US
Practice Address - Phone:239-265-2227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty