Organization
GOLDEN AGE HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO L MONTERO (OWNER)
(305) 274-7065
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST, SUITE B203, MIAMI, FL 33165-7069
(305) 274-7065
(305) 274-7058
Mailing address
10250 SW 56TH ST, SUITE B203, MIAMI, FL 33165-7069
(305) 274-7065
(305) 274-7058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992369
AHCA STATE LICENSE NO.
FL
05
—
651360300
—
FL
Enumeration date
05/23/2006
Last updated
11/09/2011
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