Organization
GOLDEN STREET ALF, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS E CABALLERO (VICE PRESIDENT)
(786) 274-0144
Entity
Organization
Contact information
Practice address
23728 SW 115TH AVE, HOMESTEAD, FL 33032-4511
(786) 274-0144
Mailing address
23728 SW 115TH AVE, HOMESTEAD, FL 33032-4511
(786) 274-0144
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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