# GOLDEN VILLA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447521943
- **Authorized official:** MENACHEM M SHAPIRO (MANAGER)
- **Authorized official phone:** (732) 961-9000

## Contact information

- **Practice address:** 1104 S WILLIAM ST, ATLANTA, TX 75551-3246
- **Practice address phone:** (903) 796-0290
- **Mailing address:** 410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 129938 | TX | Yes |

## Other

- **Enumeration date:** 01/16/2012
- **Last updated:** 12/01/2016