Organization
GOLDEN AGE ASSISTED LIVING FACILITY V, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAILYS OBEGON PINO (OWNER)
(786) 312-4796
Entity
Organization
Contact information
Practice address
7861 NW 175TH STREET, HIALEAH, FL 33015-3885
(305) 400-8976
(786) 219-4049
Mailing address
7861 NW 175TH STRREET, HIALEAH, FL 33015-3885
(305) 400-8976
(786) 219-4049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11384
FL
Other
Enumeration date
02/07/2015
Last updated
08/01/2022
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