| NPI | 1679547467 |
|---|---|
| Doing Business As | GOLDEN AGE MANOR |
| Entity Type | Organization |
| Authorized Contact | GARY R TREBERT CEO 817-359-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-08-22 |