| NPI | 1730744889 |
|---|---|
| Doing Business As | GOLDEN AGE ASSISTED LIVING,LLC |
| Entity Type | Organization |
| Authorized Contact | DENISA KAPORALIS Member 623-312-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |