Organization
GOLDEN AGE ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE WALKER SR. (OWNER)
(281) 431-2477
Entity
Organization
Contact information
Practice address
715 E SYCAMORE ST, FRESNO, TX 77545-7897
(281) 431-2477
(281) 431-0106
Mailing address
715 E SYCAMORE ST, FRESNO, TX 77545-7897
(281) 431-2477
(281) 431-0106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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