5888 Golden LLC
Skilled Nursing Facility in Jacksonville, FL. Organization (NPI-2).
NPI number1922581925
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1922581925
- Entity type
- Organization (NPI-2)
- Legal business name
- 5888 Golden LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2018
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Cross Senior Care INC (Doing Business As)
Practice location
5888 Blanding BlvdJacksonville, FL 32244-1927
Phone 954-367-4597 · Fax 954-367-4564
Mailing address
6511 Nova Dr Ste 168Davie, FL 33317-7401
Phone 813-956-8090 · Fax 954-367-4564
Authorized official
Marline C Duroseau
Cfo
9543674597
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