Provider Demographics
NPI:1992991251
Name:GOLDEN GATE HOMES, INC
Entity type:Organization
Organization Name:GOLDEN GATE HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:SUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-580-5992
Mailing Address - Street 1:223 W WALNUT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-3684
Mailing Address - Country:US
Mailing Address - Phone:919-580-5992
Mailing Address - Fax:919-580-5993
Practice Address - Street 1:223 W WALNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-3684
Practice Address - Country:US
Practice Address - Phone:919-580-5992
Practice Address - Fax:919-580-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health