# GOLDEN AGE HOME CARE, INC

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

## Provider details

- **NPI number:** 1710513395
- **Authorized official:** MR. SHAH NAWAZ (CEO)
- **Authorized official phone:** (917) 557-3350

## Contact information

- **Practice address:** 71-16 35TH STREET, JACKSON HEIGHTS, NY 11372
- **Practice address phone:** (917) 557-3350
- **Mailing address:** 71-16 35TH STREET, JACKSON HEIGHTS, NY 11372
- **Mailing address phone:** (917) 557-3350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/16/2020
- **Last updated:** 03/16/2020