Provider Demographics
NPI:1619102092
Name:GOLDEN HORIZON ASSISTED, INC.
Entity Type:Organization
Organization Name:GOLDEN HORIZON ASSISTED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DRYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-872-6707
Mailing Address - Street 1:2025 NICOLLET AVE S #203
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-872-6707
Mailing Address - Fax:612-872-0728
Practice Address - Street 1:1305 8TH ST SW
Practice Address - Street 2:
Practice Address - City:PINE CITY
Practice Address - State:MN
Practice Address - Zip Code:55063-2003
Practice Address - Country:US
Practice Address - Phone:320-629-7272
Practice Address - Fax:320-629-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility