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Organization
GOLDEN YEARS AND MORE ASSISTING LIVING
Active
Organization
GOLDEN YEARS AND MORE ASSISTING LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP B CALUBAQUIB ADMIN (ADMINISTRATOR)
(703) 791-0058
Entity
Organization
Contact information
Practice address
13114 CANOVA DR, MANASSAS, VA 20112-7840
(703) 791-0058
(703) 563-9476
Mailing address
13114 CANOVA DR, MANASSAS, VA 20112-7840
(703) 791-0058
(703) 563-9476
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
ALF103941
VA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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