Organization
GOLDEN AGE SENIOR LIVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LAWRENCE (MGR)
(407) 201-5623
Entity
Organization
Contact information
Practice address
533 BRISTOL CIR, KISSIMMEE, FL 34758-4133
(407) 201-5623
Mailing address
533 BRISTOL CIR, KISSIMMEE, FL 34758-4133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12378
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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