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General NPI Number Information
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NPI Number | 1538251657
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Entity Type | Organization
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Legal Business Name | GOLDEN YEARS MANAGEMENT
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6101 FAIR OAKS BLVD
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City | CARMICHAEL
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State | CA
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Zip | 95608-4818
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Country | US
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Telephone | 916-488-7211
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Fax | 916-488-3132
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Provider Business Mailing Address
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Address Line | 6101 FAIR OAKS BLVD
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City | CARMICHAEL
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State | CA
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Zip | 95608-4818
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Country | US
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Telephone | 916-488-7211
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Fax | 916-488-3132
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | MR. STUART M DRAKE
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Credential |
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Telephone | 916-488-7211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | CA
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