Organization
GOLDEN AGE RESIDENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERLIE COMAHIG (OWNER)
(954) 583-3321
Entity
Organization
Contact information
Practice address
1110 SW 40TH AVE, PLANTATION, FL 33317-4527
(954) 583-3321
(954) 583-8240
Mailing address
1110 SW 40TH AVE, PLANTATION, FL 33317-4527
(954) 583-3321
(954) 583-8240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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