# GODEN ROSE TOUCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134673775
- **Authorized official:** ROSANA THEOPHIN (OWNER)
- **Authorized official phone:** (754) 206-4574

## Contact information

- **Practice address:** 4561 NW 10TH AVE, FORT LAUDERDALE, FL 33309-3869
- **Practice address phone:** (754) 206-4574
- **Mailing address:** 4561 NW 10TH AVE, FORT LAUDERDALE, FL 33309-3869
- **Mailing address phone:** (754) 206-4574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906874 | FL | Yes |

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 08/11/2016