Organization
GOLDEN RETREAT AT COCONUT CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIONNE TULLOCH (OWNER)
(954) 428-0241
Entity
Organization
Contact information
Practice address
5101 NW 47TH AVE, COCONUT CREEK, FL 33073-4942
(954) 428-0241
(954) 573-7164
Mailing address
5101 NW 47TH AVE, COCONUT CREEK, FL 33073-4942
(954) 428-0241
(954) 573-7164
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6905847
FL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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