Organization
GOLDEN ASSISTED LIVING LLC
Active
Other names
Golden Assisted Living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE ELIZABETH KAMARA (OWNER)
(240) 468-3482
Entity
Organization
Contact information
Practice address
5126 CHALGROVE AVE, BALTIMORE, MD 21215-5127
(443) 449-5605
(443) 449-5605
Mailing address
2107 N ROLLING RD, WINDSOR MILL, MD 21244-1823
(240) 468-3482
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30AL3876
ASSISTED LIVING FACILITY
MD
Enumeration date
02/04/2021
Last updated
02/04/2021
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