# GOLDEN AGE HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093760852
- **Authorized official:** MR. PEDRO L MONTERO (OWNER)
- **Authorized official phone:** (305) 274-7065

## Contact information

- **Practice address:** 10250 SW 56TH ST, SUITE B203, MIAMI, FL 33165-7069
- **Practice address phone:** (305) 274-7065
- **Practice address fax:** (305) 274-7058
- **Mailing address:** 10250 SW 56TH ST, SUITE B203, MIAMI, FL 33165-7069
- **Mailing address phone:** (305) 274-7065
- **Mailing address fax:** (305) 274-7058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992369 | FL | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 11/09/2011