| NPI | 1356428718 |
|---|---|
| Doing Business As | GOLDEN AGE SKILLED NURSING & REHAB |
| Entity Type | Organization |
| Authorized Contact | STAN L BIRCHEM Owner 641-856-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 040983) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: IA 040983) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-12-04 |