NPI | 1043697592 |
---|---|
Doing Business As | GOLDEN PARK ADULT FOSTER CARE |
Entity Type | Organization |
Authorized Contact | DANIA ILEN SAPIEN Authorized Official 915-867-0142 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-05-05 |