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NPI 1568846616

NPI 1568846616 : GOLDEN ADULT DAY CARE INC : BOGOTA, NJ

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General NPI Number Information
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    NPI Number           |    1568846616
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN ADULT DAY CARE INC 
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Dates
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    Enumeration Date     |    07/17/2015
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    53-57 WEST FORT LEE ROAD 
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    City                 |    BOGOTA
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    State                |    NJ
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    Zip                  |    07603
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    Country              |    US
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    Telephone            |    201-457-1007
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    Fax                  |    201-457-1005
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Provider Business Mailing Address
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    Address Line         |    53-57 WEST FORT LEE ROAD 
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    City                 |    BOGOTA
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    State                |    NJ
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    Zip                  |    07603
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    Country              |    US
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    Telephone            |    201-457-1007
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    Fax                  |    201-457-1005
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EUNICE  PARK 
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    Credential           |    
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    Telephone            |    201-457-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    NJ
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