Organization
GOLDEN AGE ADULT DAY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAOS FOTIADIS (PRESIDENT)
(215) 600-3633
Entity
Organization
Contact information
Practice address
417 CALLOWHILL ST, PHILADELPHIA, PA 19123-4025
(215) 600-3633
(215) 600-3634
Mailing address
417 CALLOWHILL ST, PHILADELPHIA, PA 19123-4025
(215) 600-3633
(215) 600-3634
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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