# GOLDEN AGE MNAGEMENT COMPANY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Age Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235177858
- **Authorized official:** MRS. BOBBIE M NICHOLS (V. PRESIDENT)
- **Authorized official phone:** (254) 445-2517

## Contact information

- **Practice address:** 704 E DOBKINS ST, DUBLIN, TX 76446-2419
- **Practice address phone:** (254) 445-3379
- **Practice address fax:** (254) 445-4279
- **Mailing address:** 118 E LIVE OAK ST, DUBLIN, TX 76446-1941
- **Mailing address phone:** (254) 445-2517
- **Mailing address fax:** (254) 445-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112775 | TX | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020