# GOLDEN YEARS RESIDENTIAL CARE, LLC

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

## Provider details

- **NPI number:** 1740748144
- **Authorized official:** CARMEN PETRINCA HIRCIAG (ADMINISTRATOR)
- **Authorized official phone:** (702) 901-9281

## Contact information

- **Practice address:** 2945 MAVERICK ST, LAS VEGAS, NV 89108-3907
- **Practice address phone:** (702) 901-9281
- **Mailing address:** 2945 MAVERICK ST, LAS VEGAS, NV 89108-3907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2019
- **Last updated:** 03/05/2019
