| NPI | 1477399418 |
|---|---|
| Doing Business As | GOLDEN HAVEN ASSISTANT LIVING |
| Entity Type | Organization |
| Authorized Contact | NKASIOBI FELIX ELENDU Program Manager 682-521-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |