Provider Demographics
NPI:1760240386
Name:GOLDEN DAY ADULT DAY
Entity Type:Organization
Organization Name:GOLDEN DAY ADULT DAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLBY PLAUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:515-308-4163
Mailing Address - Street 1:PO BOX 1181
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-1181
Mailing Address - Country:US
Mailing Address - Phone:515-308-4163
Mailing Address - Fax:
Practice Address - Street 1:617 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3811
Practice Address - Country:US
Practice Address - Phone:515-302-4038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center