GOLDEN AGE CARE, LLC
Custodial Care Facility
Morganville, New Jersey
Provider NPI: 1326187071
Organization Information:Organization Name: GOLDEN AGE CARE, LLC
Practice Location:
209 COMMERCIAL CT MORGANVILLE, NJ 07751 US
Tel: 732-583-9999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
209 COMMERCIAL CT MORGANVILLE, NJ 07751 US
Tel: 732-583-9999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | NJ | 558113 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0044831 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin