Organization
GOLDEN LIVING RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA ADEYIN (OWNER)
(301) 646-2203
Entity
Organization
Contact information
Practice address
12178 LINCOLN LAKE WAY UNIT 207, FAIRFAX, VA 22030-7760
(301) 646-2203
Mailing address
55 BENNINGTON RD, LIVINGSTON, NJ 07039-4324
(301) 646-2203
(301) 646-2203
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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