Provider Demographics
NPI:1235761230
Name:GOLDEN YEARS LLC
Entity Type:Organization
Organization Name:GOLDEN YEARS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHLENBRUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-227-6911
Mailing Address - Street 1:PO BOX 232154
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99523-2154
Mailing Address - Country:US
Mailing Address - Phone:907-227-6911
Mailing Address - Fax:
Practice Address - Street 1:2941 MORGAN LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516
Practice Address - Country:US
Practice Address - Phone:907-227-6911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility