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Organization
GOLDEN AGE GUARDIAN CARE
Active
Organization
GOLDEN AGE GUARDIAN CARE
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA SHIRREL NELSON (CEO)
(757) 359-2874
Entity
Organization
Contact information
Practice address
144 BUSINESS PARK DR, #203, VIRGINIA BEACH, VA 23462-6527
(757) 463-2969
(757) 222-1229
Mailing address
144 BUSINESS PARK DR, #203, VIRGINIA BEACH, VA 23462-6527
(757) 463-2969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171625
VA
Other
Enumeration date
02/03/2017
Last updated
04/25/2017
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