Organization
GOLDEN RETREAT SENIOR LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAKARAI TULLOCH (ADMINISTRATOR)
(786) 356-0401
Entity
Organization
Contact information
Practice address
5101 NW 47TH AVE, COCONUT CREEK, FL 33073-4942
(954) 428-0241
Mailing address
5101 NW 47TH AVE, COCONUT CREEK, FL 33073-4942
(954) 428-0241
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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