Organization
GOLDEN YEARS SENIOR ACTIVITY CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS J MOREJON (PRESIDENT/OWNER)
(941) 655-8736
Entity
Organization
Contact information
Practice address
1133 BAL HARBOR BLVD, STE 1135, PUNTA GORDA, FL 33950-6577
(941) 655-8736
Mailing address
1133 BAL HARBOR BLVD, STE 1135, PUNTA GORDA, FL 33950-6577
(941) 655-8736
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9274
FL
372500000X
Chore Provider
233661
FL
372600000X
Adult Companion
233661
FL
376J00000X
Homemaker
233661
FL
Other
Enumeration date
07/17/2013
Last updated
10/03/2014
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