Organization
GOLDEN AGE PARENTAL CARE LLC
Active
Other names
Golden Age Parental Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENDRIX UDABOR (MANAGER)
(214) 355-8628
Entity
Organization
Contact information
Practice address
1000 VALLEY RIDGE BLDV, 6203, LEWISVILLE, TX 75077
(214) 355-8628
Mailing address
1000 VALLEY RIDGE BLVD APT 62036203, LEWISVILLE, TX 75077-2955
(214) 355-8628
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/14/2024
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