Organization · Type 2 NPI
Golden Age Supervisory Home
Assisted Living Facility · Eloy, AZ
NPI number
1245386085
Active
Practice location
118 E 11th Street
Eloy, AZ 85231
Fax (520) 466-7885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1245386085
Golden Age Supervisory Home's National Provider Identifier is 1245386085, issued on Jan 26, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eloy, AZ. The record was last updated on Aug 22, 2020.