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General NPI Number Information
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NPI Number | 1376346742
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Entity Type | Organization
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Legal Business Name | GOLDEN HOUSE RESIDENCE LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 21 VIA ALTA VIS
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City | BONSALL
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State | CA
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Zip | 92003-4020
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Country | US
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Telephone | 203-606-9547
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Fax | 760-295-4151
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Provider Business Mailing Address
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Address Line | 21 VIA ALTA VIS
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City | BONSALL
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State | CA
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Zip | 92003-4020
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Country | US
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Telephone | 760-295-4141
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Fax | 760-295-4151
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Authorized Official
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Title or Position | LICENSEE/ADMINISTRATOR
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Name | MR. YUSUF KARATAS
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Credential | ADMINISTRATOR
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Telephone | 203-508-3683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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