Provider Demographics
NPI:1831419464
Name:GOLDEN YEARS ADULT SOCIAL DAYCARE LLC
Entity type:Organization
Organization Name:GOLDEN YEARS ADULT SOCIAL DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-697-4998
Mailing Address - Street 1:2 WRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:FAR HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07931-2242
Mailing Address - Country:US
Mailing Address - Phone:201-697-4998
Mailing Address - Fax:908-741-4529
Practice Address - Street 1:2 WRIGHT LN
Practice Address - Street 2:
Practice Address - City:FAR HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07931-2242
Practice Address - Country:US
Practice Address - Phone:201-697-4998
Practice Address - Fax:908-741-4529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care