Provider Demographics
NPI:1770224370
Name:THE GOLDEN YEARS SENIOR ACTIVITY CENTER CORP
Entity type:Organization
Organization Name:THE GOLDEN YEARS SENIOR ACTIVITY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-480-7557
Mailing Address - Street 1:26218 US HIGHWAY 27 STE 102
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-1708
Mailing Address - Country:US
Mailing Address - Phone:352-460-1088
Mailing Address - Fax:352-608-9026
Practice Address - Street 1:26218 US HIGHWAY 27 STE 102
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-1708
Practice Address - Country:US
Practice Address - Phone:561-480-7557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care