Provider Demographics
NPI:1730824608
Name:GOLDEN IMPERIAL STAFFING AGENCY INC.
Entity type:Organization
Organization Name:GOLDEN IMPERIAL STAFFING AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:UCHECHUKWU
Authorized Official - Last Name:UDUJI
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER/OWNER
Authorized Official - Phone:734-657-5241
Mailing Address - Street 1:29217 FORD RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2889
Mailing Address - Country:US
Mailing Address - Phone:734-657-5241
Mailing Address - Fax:734-547-5107
Practice Address - Street 1:29217 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2889
Practice Address - Country:US
Practice Address - Phone:734-657-5241
Practice Address - Fax:734-547-5107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child