Organization
OUR GOLDEN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARA BLANCO (PRESIDENT)
(786) 380-0115
Entity
Organization
Contact information
Practice address
18400 NW 81ST CT, HIALEAH, FL 33015-2714
(786) 380-0115
Mailing address
18400 NW 81ST CT, HIALEAH, FL 33015-2714
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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