Organization
GOLDENYEARS GUARDIANSHIP SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ALEXANDER MONTGOMERY (PRESIDENT)
(914) 522-5205
Entity
Organization
Contact information
Practice address
84 BONITA VISTA RD, MOUNT VERNON, NY 10552-1348
(914) 522-5205
(914) 940-6396
Mailing address
84 BONITA VISTA RD, MOUNT VERNON, NY 10552-1348
(914) 522-5205
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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