Organization
GOLDEN SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY DAVIS (OWNER)
(352) 342-0037
Entity
Organization
Contact information
Practice address
4719 NE 32ND LN, SILVER SPRINGS, FL 34488-8716
(352) 342-0037
Mailing address
4719 NE 32ND LN, SILVER SPRINGS, FL 34488-8716
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
688758996
FL
251C00000X
Developmentally Disabled Services Day Training Agency
688758998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688758996
—
FL
05
—
688758998
—
FL
Enumeration date
05/02/2011
Last updated
05/02/2011
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