Organization
GOLDEN AGE LIVING 1 LLC
Active
Other names
Golden Age Living 1
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GBATY SOUMAHORO RN (CEO)
(510) 409-7096
Entity
Organization
Contact information
Practice address
3375 LA CADENA WAY, SACRAMENTO, CA 95835-2410
(510) 409-7096
Mailing address
3375 LA CADENA WAY, SACRAMENTO, CA 95835-2410
(510) 409-7096
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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