Organization
GLODEN SWAN ALF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY VUSCAN (OWNER /ADMINISTRATOR)
(954) 867-8080
Entity
Organization
Contact information
Practice address
4755 NW 76TH ST, COCONUT CREEK, FL 33073-2706
(954) 867-8080
Mailing address
4755 NW 76TH ST, COCONUT CREEK, FL 33073-2706
(954) 867-8080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 11654
FL
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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