Organization
GOLDEN AGE GUARDIAN CARE
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABITHA SHIRREL NELSON (CEO)
(757) 359-2874
Entity
Organization
Contact information
Practice address
144 BUSINESS PARK DR, #203, VIRGINIA BEACH, VA 23462-6527
(757) 463-2969
(757) 222-1229
Mailing address
144 BUSINESS PARK DR, #203, VIRGINIA BEACH, VA 23462-6527
(757) 463-2969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171625
VA
Other
Enumeration date
02/03/2017
Last updated
04/25/2017
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