Organization
GOLDEN AGE ASSISTED LIVING,LLC
Active
Other names
Golden Age Assisted Living,llc
Organization subpart
No
Provider details
NPI number
Authorized official
DENISA KAPORALIS (MEMBER)
(623) 312-2798
Entity
Organization
Contact information
Practice address
17176 W WATKINS ST, GOODYEAR, AZ 85338-1718
(623) 312-2798
(623) 399-6561
Mailing address
17176 W WATKINS ST, GOODYEAR, AZ 85338-1718
(623) 312-2798
(623) 399-6561
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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