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Organization
GODEN ROSE TOUCH
Active
Organization
GODEN ROSE TOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANA THEOPHIN (OWNER)
(754) 206-4574
Entity
Organization
Contact information
Practice address
4561 NW 10TH AVE, FORT LAUDERDALE, FL 33309-3869
(754) 206-4574
Mailing address
4561 NW 10TH AVE, FORT LAUDERDALE, FL 33309-3869
(754) 206-4574
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906874
FL
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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