# GOLDEN AGE CARE LLC

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

## Provider details

- **NPI number:** 1205273943
- **Authorized official:** MICHAEL KALLUSH (DIRECTOR)
- **Authorized official phone:** (215) 677-3100

## Contact information

- **Practice address:** 716 RED LION RD, PHILADELPHIA, PA 19115-1307
- **Practice address phone:** (215) 677-3100
- **Mailing address:** 716 RED LION RD, PHILADELPHIA, PA 19115-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 315144 | PA | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013