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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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