Organization
GOLDEN LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE MCGEE (MANAGING PARTNER)
(702) 544-6727
Entity
Organization
Contact information
Practice address
900 KAREN AVE, #B203, LAS VEGAS, NV 89109-1264
(702) 684-6337
Mailing address
900 KAREN AVE, #B203, LAS VEGAS, NV 89109-1264
(702) 684-6337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NV
Enumeration date
10/27/2016
Last updated
10/27/2016
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