220 Golden LLC
NPI #1124566393 in Port St Joe, Florida
Provider Information
- NPI Number
- 1124566393
- Entity Type
- Organization
- Organization Name
- 220 Golden LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 7, 2017
- Last Updated
- Feb 7, 2017
Practice Location
- Address
- 220 9TH ST
- City
- Port St Joe
- State
- Florida
- ZIP Code
- 32456-1924
- Phone
- (954) 367-4597
Authorized Official
- Name
- MARLINE C DUROSEAU
- Title
- CFO
- Phone
- (954) 367-4597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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