Organization
GOLDEN AGE FAMILY HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAITE MOMPIE (PRESIDENT)
(305) 370-2597
Entity
Organization
Contact information
Practice address
4701 SW 117TH AVE, MIAMI, FL 33175-1713
(305) 370-2597
Mailing address
4701 SW 117TH AVE, MIAMI, FL 33175-1713
(305) 370-2597
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11653
FL
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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