| NPI | 1578448437 |
|---|---|
| Doing Business As | GOLDEN BOOMERS HOME PLUS DERBY |
| Entity Type | Organization |
| Authorized Contact | THUY NGOC NGUYEN Owner/Operator 985-215-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-11 |