# GOLDEN AGE ASSISTED LIVING,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Age Assisted Living,llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730744889
- **Authorized official:** DENISA KAPORALIS (MEMBER)
- **Authorized official phone:** (623) 312-2798

## Contact information

- **Practice address:** 17176 W WATKINS ST, GOODYEAR, AZ 85338-1718
- **Practice address phone:** (623) 312-2798
- **Practice address fax:** (623) 399-6561
- **Mailing address:** 17176 W WATKINS ST, GOODYEAR, AZ 85338-1718
- **Mailing address phone:** (623) 312-2798
- **Mailing address fax:** (623) 399-6561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 10/12/2026