Organization
GOLDEN YEARS RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED S HAMSA (OWNER)
(612) 930-0000
Entity
Organization
Contact information
Practice address
6528 RUSSELL AVE S, RICHFIELD, MN 55423-1057
(612) 930-0000
Mailing address
6528 RUSSELL AVE S, RICHFIELD, MN 55423-1057
(612) 930-0000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
08/19/2025
Last updated
08/29/2025
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