Organization
GOLDEN AGE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED HALID LASSISSI (OWNER)
(402) 714-1606
Entity
Organization
Contact information
Practice address
9164 TAYLOR ST, OMAHA, NE 68134-4059
(402) 714-1606
Mailing address
9164 TAYLOR ST, OMAHA, NE 68134-4059
(402) 714-1606
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
11/21/2025
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