Organization
1031CF PALM COAST MT LLC
Active
Other names
GOLD CHOICE PALM COAST
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FERNANDEZ (MANAGER)
(844) 533-1031
Entity
Organization
Contact information
Practice address
3830 OLD KINGS RD, PALM COAST, FL 32137-9262
(386) 307-5445
Mailing address
2603 MAIN ST STE 1050, IRVINE, CA 92614-4282
(844) 533-1031
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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