Organization
GOLDEN AGE HOME CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIL A RIVERA TEXIDOR (OWNER/ADMINISTRATOR)
(407) 496-3123
Entity
Organization
Contact information
Practice address
1313 FREEPORT DR, DELTONA, FL 32725-4647
(407) 496-3123
(386) 742-8010
Mailing address
1313 FREEPORT DR, DELTONA, FL 32725-4647
(407) 496-3123
(386) 742-8010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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