# GOLDEN AGE GUARDIAN CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659819175
- **Authorized official:** MRS. TABITHA SHIRREL NELSON (CEO)
- **Authorized official phone:** (757) 359-2874

## Contact information

- **Practice address:** 144 BUSINESS PARK DR, \#203, VIRGINIA BEACH, VA 23462-6527
- **Practice address phone:** (757) 463-2969
- **Practice address fax:** (757) 222-1229
- **Mailing address:** 144 BUSINESS PARK DR, \#203, VIRGINIA BEACH, VA 23462-6527
- **Mailing address phone:** (757) 463-2969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-171625 | VA | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 04/25/2017