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Organization

GOLDEN PATH SENIOR LIVING CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOSIA KING (OWNER)
(262) 748-2596
Entity
Organization

Contact information

Practice address
10343 W DONNA DR, MILWAUKEE, WI 53224-2358
(414) 236-5787
Mailing address
8828 S SANTA ELIZABETH DR, GOODYEAR, AZ 85338-7013
(262) 748-2596

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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