Organization
GOLDEN TIMES CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL RAHEEM ABDUL JABBAR (OWNER)
(480) 399-0502
Entity
Organization
Contact information
Practice address
11036 N 28TH DR UNIT 111, PHOENIX, AZ 85029-4305
(480) 399-0502
Mailing address
11036 N 28TH DR UNIT 111, PHOENIX, AZ 85029-4305
(480) 399-0502
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
07/21/2022
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