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Organization

GOLDEN AGE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARCHANA DESAI (PRESIDENT)
(732) 284-6020
Entity
Organization

Contact information

Practice address
4845 JIMMY CARTER BLVD, NORCROSS, GA 30093-3641
(732) 284-6020
(267) 878-0160
Mailing address
4845 JIMMY CARTER BLVD, NORCROSS, GA 30093-3641
(732) 284-6020
(267) 878-0160

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
GA

Other

Enumeration date
05/12/2017
Last updated
05/12/2017
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