Healthcare Provider Details

I. General information

NPI: 1053681775
Provider Name (Legal Business Name): GOLDEN DAYS MEDICAL DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 HOLLINS FERRY RD STE C
BALTIMORE MD
21227-4625
US

IV. Provider business mailing address

4601 HOLLINS FERRY RD STE C
BALTIMORE MD
21227-4625
US

V. Phone/Fax

Practice location:
  • Phone: 410-242-6650
  • Fax: 410-242-6999
Mailing address:
  • Phone: 410-242-6650
  • Fax: 410-242-6999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZLATA GEKHT
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 410-242-6650