Organization
GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC
Active
Other names
Golden Years Memory Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFER DAUZ (ADMINISTRATOR)
(702) 480-9021
Entity
Organization
Contact information
Practice address
8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423
(702) 202-6475
Mailing address
8920 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5423
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100539474
—
NV
Enumeration date
11/19/2019
Last updated
11/19/2019
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