Provider Demographics
NPI:1740081561
Name:GOLDEN LIFE CARE 2 INC
Entity type:Organization
Organization Name:GOLDEN LIFE CARE 2 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-370-9348
Mailing Address - Street 1:19711 SPLIT RAIL RUN
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-6130
Mailing Address - Country:US
Mailing Address - Phone:561-370-9348
Mailing Address - Fax:
Practice Address - Street 1:13931 MORNING GLORY DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-8645
Practice Address - Country:US
Practice Address - Phone:561-801-2006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility