| NPI | 1194768762 |
|---|---|
| Doing Business As | GOLDEN AGE HEALTHCARE AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | KIM DELATTE Com PT Roller 225-664-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 160) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-02-24 |