Organization
GOLDEN AGE ADULT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABEL CAMACHO (ADMINISTRATOR)
(786) 444-4938
Entity
Organization
Contact information
Practice address
7355 W 12TH AVE, HIALEAH, FL 33014-4616
(305) 824-1046
(305) 225-1289
Mailing address
7355 W 12 AVE, HIALEAH, FL 33014-4616
(305) 824-1046
(305) 824-9570
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 10581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142333900
—
FL
05
—
689052100
—
FL
Enumeration date
05/18/2007
Last updated
09/13/2013
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