| 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 |