Organization
GOLDEN AGES ADULT DAYCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENNYS BAUTISTA (DIRECTOR)
(702) 427-5307
Entity
Organization
Contact information
Practice address
3020 E BONANZA RD, BLDG D STE 160, LAS VEGAS, NV 89101-3702
(702) 427-5307
Mailing address
3020 E BONANZA RD, BLDG D STE 160, LAS VEGAS, NV 89101-3702
(702) 427-5307
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
8122ADC-0
NV
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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