NPI | 1750144358 |
---|---|
Doing Business As | GOLDEN YEARS COMMUNITY LIVING |
Entity Type | Organization |
Authorized Contact | BARBARA L WHITE Owner 682-221-3568 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-05-03 |