GOLDEN AGE SENIOR CARE HOSPITAL LLC NPI 1518998020

NPI Information

GOLDEN AGE SENIOR CARE HOSPITAL, LLC is a psychiatric hospital in Monroe, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. GOLDEN AGE SENIOR CARE HOSPITAL, LLC NPI is 1518998020. The provider is registered as an organization entity type.

The provider's business location address is:

4310 S GRAND ST
MONROE, LA
ZIP 71202-322
Phone: (318) 651-0920
Fax: (318) 651-0921

The provider's authorized official is Walter O Bigby .
The authorized official title is Administrator and has the following contact phone number (318) 651-0920.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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