NPI 1730744889

Golden Age Assisted Living,llc

Organisation Adult Care Home Facility Goodyear, AZ

Practice location

Address: 17176 W Watkins St, Goodyear, AZ 85338-1718
Phone: (623) 312-2798
Fax: (623) 399-6561

Authorised official

Name: Denisa Kaporalis
Title: Member
Phone: (623) 312-2798

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1730744889
Entity type: Organization
NPI issued: 3 May 2019
Record last updated: 3 May 2019

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.