# GOLDEN GENERATION LLC

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

## Provider details

- **NPI number:** 1316374192
- **Authorized official:** TONYA MOYD B.A. BUSINESS (ADMINISTRATOR)
- **Authorized official phone:** (706) 339-6749

## Contact information

- **Practice address:** 351 KINGS BRIDGE RD, MARTINEZ, GA 30907-9616
- **Practice address phone:** (706) 339-6749
- **Mailing address:** 351 KINGS BRIDGE RD, MARTINEZ, GA 30907-9616
- **Mailing address phone:** (706) 339-6749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 146305913A | GA | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 146305913B | GA | — |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 10/10/2013