Organization
GOLDEN AGE ADULT DAYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSEL GLADKOVITSER (CEO)
(718) 576-6336
Entity
Organization
Contact information
Practice address
1773 BROADWAY, BROOKLYN, NY 11207-1611
(718) 576-6336
Mailing address
1773 BROADWAY, BROOKLYN, NY 11207-1611
(718) 576-6336
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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