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Golden Healthcare Advantage Corp

Health Maintenance Organization in Virginia Beach, VA. Organization (NPI-2).

NPI number1366728958
StatusActive
Last updated in NPPESOct 26, 2011

Details

NPI
1366728958
Entity type
Organization (NPI-2)
Legal business name
Golden Healthcare Advantage Corp
Organization subpart
No
Enumeration date
Oct 26, 2011
Last updated
Oct 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance Organization07426513VAYes

Practice location

6401 Duquesne Pl
Virginia Beach, VA 23464-4430

Phone 757-401-0992

Mailing address

6401 Duquesne Pl
Virginia Beach, VA 23464-4430

Phone 757-401-0992

Authorized official

Francis I Aikhu
Pres/Ceo
7574010992

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