Gold Leaf Enterprises, INC

NPI #1861674350 in Jackson, Missouri

Provider Information

NPI Number: 1861674350
Entity Type: Organization
Organization Name: Gold Leaf Enterprises, INC
Primary Specialty: Counselor
Enumeration Date: Nov 27, 2007
Last Updated: Nov 27, 2007

Practice Location

Address: 1166 GREENWAY DR STE B5
City: Jackson
State: Missouri
ZIP Code: 63755-2921
Phone: (573) 866-9900

Authorized Official

Name: MS. SHERRI G COOMER
Title: PRESIDENT
Phone: (573) 243-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Counselor	101Y00000X	Primary

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