Organization
OUR GOLDEN LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LIFE O AGYARE (CEO)
(240) 533-7437
Entity
Organization
Contact information
Practice address
11944 BENTON LAKE RD, BRISTOW, VA 20136-6159
(240) 522-7437
Mailing address
11944 BENTON LAKE RD, BRISTOW, VA 20136-6159
(240) 533-7437
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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