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Contact Information

GOLDEN LIVING RESIDENTIAL LLC
12178 LINCOLN LAKE WAY UNIT 207
FAIRFAX, VA22030-7760
 Phone: 301-646-2203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for GOLDEN LIVING RESIDENTIAL LLC

NPI # 1861290827
LBN Legal business name GOLDEN LIVING RESIDENTIAL LLC
Authorized official JESSICA ADEYIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2025
Last updated 03/05/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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