Provider Demographics
NPI:1194778092
Name:GOLDEN CIPHERS
Entity type:Organization
Organization Name:GOLDEN CIPHERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:OCPSII
Authorized Official - Phone:216-687-0000
Mailing Address - Street 1:3337 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-3022
Mailing Address - Country:US
Mailing Address - Phone:216-687-0000
Mailing Address - Fax:216-687-9187
Practice Address - Street 1:2320 E 24TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3112
Practice Address - Country:US
Practice Address - Phone:216-687-0000
Practice Address - Fax:216-687-9187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable