| A Golden Life Personal Care Home, Llc | |
|
3153 Dove Ct B Snellville GA 30078-3652 | |
| (877) 430-3828 | |
| (404) 220-8856 |
| Full Name | A Golden Life Personal Care Home, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3153 Dove Ct, Snellville, Georgia |
| Authorized Official Name and Position | Gena Golden (DIRECTOR) |
| Authorized Official Contact | 8774303828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Golden Life Personal Care Home, Llc 3153 Dove Ct B Snellville GA 30078-3652 Ph: () - | A Golden Life Personal Care Home, Llc 3153 Dove Ct B Snellville GA 30078-3652 Ph: (877) 430-3828 |
| NPI Number | 1417297425 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417297425 | NPI | - | NPPES |
| 504647604O | Medicaid | GA | |
| 507647604J | Medicaid | GA | |
| 504647604K | Medicaid | GA | |
| 507647604E | Medicaid | GA | |
| 504647604L | Medicaid | GA | |
| 507647604B | Medicaid | GA | |
| 507647604H | Medicaid | GA | |
| 507647604F | Medicaid | GA | |
| 507647604G | Medicaid | GA | |
| 507647604I | Medicaid | GA | |
| 507647604C | Medicaid | GA | |
| 504647604M | Medicaid | GA | |
| 507647604N | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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