Healthcare Provider Details

I. General information

NPI: 1972992089
Provider Name (Legal Business Name): GOLDEN VISIONS ADULT DAY SERVICES AND COMMUNITY SENIOR CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 FAME AVE STE 125
HANOVER PA
17331-1594
US

IV. Provider business mailing address

250 FAME AVE STE 125
HANOVER PA
17331-1594
US

V. Phone/Fax

Practice location:
  • Phone: 717-633-5072
  • Fax: 717-633-5064
Mailing address:
  • Phone: 717-633-5072
  • Fax: 717-633-5064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number250610
License Number StatePA

VIII. Authorized Official

Name: BUFFY RICE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 717-633-5072