Provider Demographics
NPI:1750686291
Name:GOLDEN AGE CARE LLC
Entity Type:Organization
Organization Name:GOLDEN AGE CARE LLC
Other - Org Name:ABERDEEN SENIOR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-583-9999
Mailing Address - Street 1:209 COMMERCIAL CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1061
Mailing Address - Country:US
Mailing Address - Phone:732-583-9999
Mailing Address - Fax:
Practice Address - Street 1:209 COMMERCIAL CT
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1061
Practice Address - Country:US
Practice Address - Phone:732-583-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care