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Organization
GOLDEN YEARS ALF CORPORATION
Active
Organization
GOLDEN YEARS ALF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY OWEN HARRIS (ADMINISTRATOR)
(561) 881-7615
Entity
Organization
Contact information
Practice address
321 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-4432
(561) 881-7615
(561) 881-4558
Mailing address
321 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-4432
(561) 881-7615
(561) 881-4558
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10192
FL
Other
Enumeration date
05/14/2008
Last updated
01/15/2015
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