Organization
5888 GOLDEN LLC
Active
Other names
CROSS SENIOR CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARLINE C DUROSEAU (CFO)
(954) 367-4597
Entity
Organization
Contact information
Practice address
5888 BLANDING BLVD, JACKSONVILLE, FL 32244-1927
(954) 367-4597
(954) 367-4564
Mailing address
6511 NOVA DR STE 168, DAVIE, FL 33317-7401
(813) 956-8090
(954) 367-4564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
09/14/2018
Last updated
08/13/2020
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