NPI 1205273943

Golden Age Care LLC

Organisation Adult Care Home Facility Philadelphia, PA

Practice location

Address: 716 Red Lion Rd, Philadelphia, PA 19115-1307
Phone: (215) 677-3100

Authorised official

Name: Michael Kallush
Title: Director
Phone: (215) 677-3100

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 315144 (PA)

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Registry record

NPI: 1205273943
Entity type: Organization
NPI issued: 3 Jun 2013
Record last updated: 3 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.