Organization
GOLDEN AGE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO L REYES (OWNER)
(561) 371-3312
Entity
Organization
Contact information
Practice address
4120 KIRKLAND LN, LAKE WORTH, FL 33461-5326
(561) 619-2925
(561) 619-2925
Mailing address
4120 KIRKLAND LN, LAKE WORTH, FL 33461-5326
(561) 619-2925
(561) 619-2925
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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