Organization
GOLDEN GIRLS RESIDENTIAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILUMINADO LANDOY CALISANG (PRESIDENT/GENERLA MANAGE)
(623) 414-3004
Entity
Organization
Contact information
Practice address
6827 W ROWEL RD, PEORIA, AZ 85383-7040
(623) 414-3004
(623) 414-3771
Mailing address
6827 W ROWEL RD, PEORIA, AZ 85383-7040
(623) 414-3004
(623) 414-3771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH5905
AZ
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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