# GOLDEN AGE ADULT SERVICES. CRP

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

## Provider details

- **NPI number:** 1407172190
- **Authorized official:** MISS GALINA MARKOVICH NP (NURSE PRACTITIONER)
- **Authorized official phone:** (646) 306-7040

## Contact information

- **Practice address:** 21 CANDLE LN, EAST BRUNSWICK, NJ 08816
- **Practice address phone:** (646) 306-7040
- **Mailing address:** 21 CANDLE LN, EAST BRUNSWICK, NJ 08816
- **Mailing address phone:** (646) 306-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 476435-1 | NY | Yes |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 04/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F304085 | CERTIFICATE | NY |