| NPI | 1275353641 |
|---|---|
| Former Legal Business Name | GOLDEN AGE LIVING 1 |
| Entity Type | Organization |
| Authorized Contact | MARIAM GBATY SOUMAHORO CEO 510-409-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |