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Organization
GOLDEN LIFE ASSISTED LIVING HOME-1
Active
Organization
GOLDEN LIFE ASSISTED LIVING HOME-1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SIDDIQUI (ADMINISTRATOR)
(602) 332-0780
Entity
Organization
Contact information
Practice address
4113 W HAYWARD AVE, PHOENIX, AZ 85051-5751
(602) 332-0780
(623) 399-8915
Mailing address
4113 W HAYWARD AVE, PHOENIX, AZ 85051-5751
(602) 332-0780
(623) 399-8915
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL8880H
AZ
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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