Organization
GOLDEN HC OPERATOR LLC
Active
Other names
Golden Age Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN FALKINBURG (EXECUTIVE ASSISTANT)
(214) 396-3462
Entity
Organization
Contact information
Practice address
704 E DOBKINS ST, DUBLIN, TX 76446-2419
(254) 445-3379
(254) 445-4279
Mailing address
111 CLIFTON AVE, LAKEWOOD, NJ 08701-3342
(214) 396-3462
(214) 396-3482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001022267
—
TX
01
—
45-5712
MEDICARE ID
TX
Enumeration date
08/21/2015
Last updated
06/20/2016
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