Organization
GOLDEN AGE HOME ASSISTANCE LLC
Active
Organization
GOLDEN AGE HOME ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAN GOMEZ DE LA OSA (OWNER)
(786) 580-6815
Entity
Organization
Contact information
Practice address
2224 S JOG RD, GREENACRES, FL 33415-6101
(561) 552-3510
Mailing address
2224 S JOG RD, GREENACRES, FL 33415-6101
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30213167
AHCA
FL
Enumeration date
06/25/2026
Last updated
06/25/2026
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