# GOLDEN YEARS AND MORE ASSISTING LIVING

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

## Provider details

- **NPI number:** 1366989923
- **Authorized official:** MR. PHILIP B CALUBAQUIB ADMIN (ADMINISTRATOR)
- **Authorized official phone:** (703) 791-0058

## Contact information

- **Practice address:** 13114 CANOVA DR, MANASSAS, VA 20112-7840
- **Practice address phone:** (703) 791-0058
- **Practice address fax:** (703) 563-9476
- **Mailing address:** 13114 CANOVA DR, MANASSAS, VA 20112-7840
- **Mailing address phone:** (703) 791-0058
- **Mailing address fax:** (703) 563-9476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | ALF103941 | VA | Yes |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 01/20/2017