Organization
GOLDEN RETREAT ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUES AUGUSTUS DAVIS (OWNER/ADMINISTRATOR)
(561) 234-7723
Entity
Organization
Contact information
Practice address
6746 MASSACHUSETTS DR, LAKE WORTH, FL 33462-3836
(561) 234-7723
Mailing address
6746 MASSACHUSETTS DR, LAKE WORTH, FL 33462-3836
(561) 234-7723
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11587
FL
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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