Organization
GOLDEN HEALTHCARE ADVANTAGE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS I AIKHU (PRES/CEO)
(757) 401-0992
Entity
Organization
Contact information
Practice address
6401 DUQUESNE PL, VIRGINIA BEACH, VA 23464-4430
(757) 401-0992
Mailing address
6401 DUQUESNE PL, VIRGINIA BEACH, VA 23464-4430
(757) 401-0992
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
07426513
VA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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