Organization
GOLDEN AGE GARDEN NURSING HOME
Active
Other names
NOVA INFUSION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR ROSA LOPEZ RN BSN 31904 (SUPERVISOR)
(787) 860-6835
Entity
Organization
Contact information
Practice address
HC 67 BOX 15513, FAJARDO, PR 00738-9705
(787) 613-9827
Mailing address
HC 67 BOX 15513, FAJARDO, PR 00738-9705
(787) 613-9827
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
31904
PR
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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