GOLDEN YEARS RESIDENTIAL CARE FACILITY LLC NPI 1922644459

NPI Information

GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC is an adult care home custodial care facility in Las Vegas, NV. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GOLDEN YEARS RESIDENTIAL CARE FACILITY, LLC NPI is 1922644459. The provider is registered as an organization entity type.

The provider's business location address is:

8920 LOGGERS MILL AVE
LAS VEGAS, NV
ZIP 89143-423
Phone: (702) 202-6475

The provider's authorized official is Kristofer Dauz .
The authorized official title is Administrator and has the following contact phone number (702) 480-9021.

The CLIA number assigned to this NPI record is 29D2227174 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

Taxonomy Codes

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Other Identifiers

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