Golden Age INC
NPI #1720073448 in Greenwood, Mississippi
Provider Information
- NPI Number
- 1720073448
- Entity Type
- Organization
- Organization Name
- Golden Age INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Jan 20, 2022
Practice Location
- Address
- 2901 HIGHWAY 82 E
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-6072
- Phone
- (662) 453-6323
Authorized Official
- Name
- TABATHA WATKINS
- Title
- ADMINISTRATOR
- Phone
- (662) 453-6323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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