Organization
CL GOLDEN LLC
Active
Other names
CROSS LANDINGS HEALTH AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARLINE C DUROSEAU (CFO)
(954) 367-4563
Entity
Organization
Contact information
Practice address
1780 N JEFFERSON HWY, MONTICELLO, FL 32344-5536
(850) 399-0464
(850) 399-0464
Mailing address
6511 NOVA DR STE 168, DAVIE, FL 33317-7401
(954) 367-4597
(954) 367-4564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
FL
Enumeration date
08/02/2017
Last updated
06/16/2018
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