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Organization
GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC
Active
Organization
GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC
Active
Other names
Golden Years Memory Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFER DAUZ (ADMINISTRATOR)
(702) 480-9021
Entity
Organization
Contact information
Practice address
8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423
(702) 202-6475
Mailing address
8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100539474
—
NV
Enumeration date
11/19/2019
Last updated
11/19/2019
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