# GOLDEN AGE OF WELSH, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Age of Welsh, L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588745335
- **Authorized official:** MR. JAMES AARON JOUBERT JR. (OWNER)
- **Authorized official phone:** (337) 734-2555

## Contact information

- **Practice address:** 410 S SIMMONS ST, WELSH, LA 70591-5028
- **Practice address phone:** (337) 734-2555
- **Practice address fax:** (337) 734-2024
- **Mailing address:** 410 S SIMMONS ST, WELSH, LA 70591-5028
- **Mailing address phone:** (337) 734-2555
- **Mailing address fax:** (337) 734-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 733 | LA | — |
| 314000000X | Skilled Nursing Facility | 733 | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1513539 | — | LA |