| Organization Name: | GOLDEN AGE, INC. |
| NPI Number: | 1356428718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STAN L BIRCHEM (OWNER) |
| Mailing Address: | 1915 S 18th St Centerville |
| State: | IA US |
| Postal Code: | 525443102 |
| Phone Number: | 6418562761 |
| Fax Number: | 6418562762 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 12/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 040983 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |