Provider Demographics
NPI:1457736746
Name:GOLDEN LIVING , INC.
Entity Type:Organization
Organization Name:GOLDEN LIVING , INC.
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SALCEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-413-8601
Mailing Address - Street 1:3223 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5401
Mailing Address - Country:US
Mailing Address - Phone:619-222-1109
Mailing Address - Fax:619-222-8468
Practice Address - Street 1:3223 DUKE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-5401
Practice Address - Country:US
Practice Address - Phone:619-222-1109
Practice Address - Fax:619-222-8468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374602369310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility