Provider Demographics
NPI:1629638663
Name:GOLDEN LIFE LIVING INC
Entity Type:Organization
Organization Name:GOLDEN LIFE LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARLENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-309-1687
Mailing Address - Street 1:3334 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5808
Mailing Address - Country:US
Mailing Address - Phone:215-309-1687
Mailing Address - Fax:215-203-0203
Practice Address - Street 1:3334 N FRONT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5808
Practice Address - Country:US
Practice Address - Phone:215-309-1687
Practice Address - Fax:215-203-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty