# GOLDEN AGE HEALTH CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alleve Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679560957
- **Authorized official:** MR. NATHAN SOWAH (ADMINISTRATOR)
- **Authorized official phone:** (405) 878-8772

## Contact information

- **Practice address:** 2801 N KICKAPOO AVE, SUITE A, SHAWNEE, OK 74804-1709
- **Practice address phone:** (405) 878-8775
- **Practice address fax:** (405) 878-8776
- **Mailing address:** 2801 N KICKAPOO AVE, SUITE A, SHAWNEE, OK 74804-1709
- **Mailing address phone:** (405) 878-8775
- **Mailing address fax:** (405) 878-8776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 7455 | OK | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 07/10/2008