# GOLDEN AGE HOME HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRN HOME HEALTH SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417160045
- **Authorized official:** AMANTEFLOR P VILLANUEVA (CEO)
- **Authorized official phone:** (818) 761-5511

## Contact information

- **Practice address:** 15600 DEVONSHIRE ST STE 206, GRANADA HILLS, CA 91344-7242
- **Practice address phone:** (818) 761-5511
- **Practice address fax:** (818) 761-6611
- **Mailing address:** 15600 DEVONSHIRE ST STE 206, GRANADA HILLS, CA 91344-7242
- **Mailing address phone:** (818) 761-5511
- **Mailing address fax:** (818) 761-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550000856 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 06/23/2015