Organization
COUNCIL ON AGING GOLDEN AGE CENTER
Active
Other names
Golden Age Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE MARTIN (DIRECTOR)
(435) 789-2169
Entity
Organization
Contact information
Practice address
155 S 100 W, VERNAL, UT 84078-2523
(435) 789-2169
(435) 789-2171
Mailing address
155 S 100 W, VERNAL, UT 84078-2523
(435) 789-2169
(435) 789-2171
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807028025008
—
CA
05
—
876000318001
—
UT
Enumeration date
01/30/2007
Last updated
08/22/2020
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