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Contact Information

GOLDEN AGE GARDEN NURSING HOME
HC 67 BOX 15513
FAJARDO, PR00738-9705
 Phone: 787-613-9827
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for GOLDEN AGE GARDEN NURSING HOME

NPI Number 1740449834
LBN Legal business name GOLDEN AGE GARDEN NURSING HOME
Authorized official OMAR ROSA LOPEZ - (SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 06/04/2008 - About 18 years ago
Identifiers
PR License # 31904
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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