| NPI | 1083043780 |
|---|---|
| Doing Business As | GOLDEN AGE - INMAN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A. JOHNSON Lead Administrator 864-472-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2019-05-07 |