Organization
GOLDEN AGE PARENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS ONYENJIUWA MADAGU MD (MD)
(214) 355-8628
Entity
Organization
Contact information
Practice address
247 E SW PARKWAY, APT. 605, LEWISVILLE, TX 75067
(214) 355-8628
Mailing address
1301 JUSTIN RD STE 201, LEWISVILLE, TX 75077-2183
(214) 355-8628
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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