Organization
GOLDEN YEARS CARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN G STANSBARGER (OWNER)
(480) 396-4490
Entity
Organization
Contact information
Practice address
7312 E JASMINE ST, MESA, AZ 85207-2930
(480) 396-4490
(480) 396-4490
Mailing address
7312 E JASMINE ST, MESA, AZ 85207-2930
(480) 396-4490
(480) 396-4490
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
789802
AZ
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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