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Organization
GOLDEN AGE HOME HEALTH INC
Active
Organization
GOLDEN AGE HOME HEALTH INC
Active
Other names
PRN HOME HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
AMANTEFLOR P VILLANUEVA (CEO)
(818) 761-5511
Entity
Organization
Contact information
Practice address
15600 DEVONSHIRE ST STE 206, GRANADA HILLS, CA 91344-7242
(818) 761-5511
(818) 761-6611
Mailing address
15600 DEVONSHIRE ST STE 206, GRANADA HILLS, CA 91344-7242
(818) 761-5511
(818) 761-6611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000856
CA
Other
Enumeration date
05/08/2007
Last updated
06/23/2015
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