# GOLDEN AGE HOME HEALTH CORP

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

## Provider details

- **NPI number:** 1336681857
- **Authorized official:** AGNES STURGEON (ADMINISTRATOR)
- **Authorized official phone:** (817) 501-7727

## Contact information

- **Practice address:** 1117 W PIONEER PKWY STE 100B, ARLINGTON, TX 76013-6398
- **Practice address phone:** (817) 617-8016
- **Practice address fax:** (817) 459-3314
- **Mailing address:** 1117 W PIONEER PKWY STE 100B, ARLINGTON, TX 76013-6398
- **Mailing address phone:** (817) 617-8016
- **Mailing address fax:** (817) 459-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2016
- **Last updated:** 12/22/2016