Organization
GOLDEN AGE SENIORS OF SUNRISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARJORIE MAY GILLESPIE AAPRN (ADMINISTRATOR)
(305) 778-3157
Entity
Organization
Contact information
Practice address
9811 NW 31ST PL, SUNRISE, FL 33351-7032
(954) 742-8658
Mailing address
9811 NW 31ST PL, SUNRISE, FL 33351-7032
(954) 742-8658
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10786
LICENSE
FL
Enumeration date
06/04/2012
Last updated
02/24/2026
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