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Organization
GOLDEN HC OPERATOR LLC
Active
Organization
GOLDEN HC OPERATOR LLC
Active
Other names
Golden Age Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN FALKINBURG (EXECUTIVE ASSISTANT)
(214) 396-3462
Entity
Organization
Contact information
Practice address
704 E DOBKINS ST, DUBLIN, TX 76446-2419
(254) 445-3379
(254) 445-4279
Mailing address
111 CLIFTON AVE, LAKEWOOD, NJ 08701-3342
(214) 396-3462
(214) 396-3482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001022267
—
TX
01
—
45-5712
MEDICARE ID
TX
Enumeration date
08/21/2015
Last updated
06/20/2016
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