Organization
GOLDEN BUTTERFLY COPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENIS M RETUERTO (OWNER)
(813) 244-3298
Entity
Organization
Contact information
Practice address
6217 PALMVIEW CT, TAMPA, FL 33625-5633
(813) 244-3298
Mailing address
6217 PALMVIEW CT, TAMPA, FL 33625-5633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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