Organization
FL GOLDEN ADULT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BUISSERETH CNA (OWNER)
(407) 690-9755
Entity
Organization
Contact information
Practice address
1686 RACHELS RIDGE LOOP, OCOEE, FL 34761-9000
(407) 690-9755
Mailing address
1686 RACHELS RIDGE LOOP, OCOEE, FL 34761-9000
(407) 690-9755
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CNA33740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012188600
—
FL
Enumeration date
10/21/2014
Last updated
10/21/2014
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