Golden Living Residential Llc

Specialty details in registry · Fairfax, VA

Call (301) 646-2203 Directions

At a glance

12178 Lincoln Lake Way Unit 207, Fairfax, VA 22030-7760

NPPES record updated Mar 5, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

12178 Lincoln Lake Way Unit 207
Fairfax, VA 22030-7760

Professional details: NPI, taxonomy & registry record

NPI1861290827

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251C00000X
Enumeration date: Mar 5, 2025
Record updated: Mar 5, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251C00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12178 Lincoln Lake Way Unit 207
Fairfax, VA 22030-7760

Phone: (301) 646-2203

Mailing address

55 BENNINGTON RD

LIVINGSTON, NJ 070394324

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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