# GOLDEN LIFE ASSISTED LIVING HOME-1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558753533
- **Authorized official:** REBECCA SIDDIQUI (ADMINISTRATOR)
- **Authorized official phone:** (602) 332-0780

## Contact information

- **Practice address:** 4113 W HAYWARD AVE, PHOENIX, AZ 85051-5751
- **Practice address phone:** (602) 332-0780
- **Practice address fax:** (623) 399-8915
- **Mailing address:** 4113 W HAYWARD AVE, PHOENIX, AZ 85051-5751
- **Mailing address phone:** (602) 332-0780
- **Mailing address fax:** (623) 399-8915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL8880H | AZ | Yes |

## Other

- **Enumeration date:** 02/27/2015
- **Last updated:** 02/27/2015