Organization
GOLDEN AGE ASSISTED LIVING FACILITY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET MATOS (OWNER)
(786) 315-3025
Entity
Organization
Contact information
Practice address
5970 NW 3 STREET, MIAMI, FL 33126-4765
(786) 315-3025
Mailing address
5970 NW 3 STREET, MIAMI, FL 33126-4765
(786) 315-3025
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12292
FL
Other
Enumeration date
01/17/2013
Last updated
01/27/2023
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