Organization
LIFE'S GOLDEN HORIZONS, INC
Active
Other names
Antelope Valley Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUNG HIRO (ADMINISTRATOR)
(661) 949-6278
Entity
Organization
Contact information
Practice address
44902 10TH ST W, LANCASTER, CA 93534-2314
(661) 949-6278
(661) 949-6768
Mailing address
42212 10TH ST W STE 8, LANCASTER, CA 93534-7005
(661) 949-6278
(661) 949-6768
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70204G
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
12/29/2006
Last updated
07/24/2024
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