Provider Demographics
NPI:1659925154
Name:GOLDEN LIVING HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:GOLDEN LIVING HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- OWNER /ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ISATU
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-337-2357
Mailing Address - Street 1:7217 LOCKPORT PL STE 211
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1584
Mailing Address - Country:US
Mailing Address - Phone:703-337-2357
Mailing Address - Fax:703-337-2109
Practice Address - Street 1:7217 LOCKPORT PL STE 211
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1584
Practice Address - Country:US
Practice Address - Phone:703-337-2357
Practice Address - Fax:703-337-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health