Organization
GOLDEN AGE SENIOR LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICEL TINIO (ADMINISTRATOR)
(510) 522-3812
Entity
Organization
Contact information
Practice address
218 CHANNING WAY, ALAMEDA, CA 94502-6452
(510) 522-3812
(510) 903-1312
Mailing address
230 SWEET RD, ALAMEDA, CA 94502-7798
(510) 522-3812
(510) 903-1312
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
015600840
CA
311500000X
Alzheimer Center (Dementia Center)
015600840
CA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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