Organization
GOLDEN RETREAT ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE MARIAN CROCKETT (OWNER/MANAGER)
(301) 393-3609
Entity
Organization
Contact information
Practice address
673 HIGHLAND WAY, HAGERSTOWN, MD 21740-6287
(301) 393-3609
(301) 393-8045
Mailing address
673 HIGHLAND WAY, HAGERSTOWN, MD 21740-6287
(301) 393-3609
(301) 393-8045
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
21ALOO95-A
MD
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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