Organization
220 GOLDEN LLC
Active
Other names
Cross Shores Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARLINE C DUROSEAU (CFO)
(954) 367-4597
Entity
Organization
Contact information
Practice address
220 9TH ST, PORT ST JOE, FL 32456-1924
(954) 367-4597
(954) 367-4564
Mailing address
6511 NOVA DR STE 168, DAVIE, FL 33317-7401
(954) 367-4563
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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