Organization
GOLDEN YEARS RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN PETRINCA HIRCIAG (ADMINISTRATOR)
(702) 901-9281
Entity
Organization
Contact information
Practice address
2945 MAVERICK ST, LAS VEGAS, NV 89108-3907
(702) 901-9281
Mailing address
2945 MAVERICK ST, LAS VEGAS, NV 89108-3907
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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