Organization
GOLDEN AGE OF WELSH, L.L.C.
Active
Other names
Golden Age of Welsh, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES AARON JOUBERT JR. (OWNER)
(337) 734-2555
Entity
Organization
Contact information
Practice address
410 S SIMMONS ST, WELSH, LA 70591-5028
(337) 734-2555
(337) 734-2024
Mailing address
410 S SIMMONS ST, WELSH, LA 70591-5028
(337) 734-2555
(337) 734-2024
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
733
LA
314000000X
Skilled Nursing Facility
Primary
733
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513539
—
LA
Enumeration date
10/18/2006
Last updated
08/08/2013
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