| NPI | 1962599142 |
|---|---|
| Doing Business As | GOLDEN AGE - INMAN |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHNSON President 864-472-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-04-07 |