GOLDEN DIVERSIFIED SERVICE INC NPI 1417381757

NPI Information

GOLDEN DIVERSIFIED SERVICE INC is an assisted living facility in Fort Lauderdale, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GOLDEN DIVERSIFIED SERVICE INC NPI is 1417381757. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Sands Retirement Home.

The provider's business location address is:

809 NE 20TH AVE
FORT LAUDERDALE, FL
ZIP 33304-035
Phone: (954) 524-6054
Fax: (954) 525-6868

The provider's authorized official is Swaby A Kerr Rolle .
The authorized official title is Owner and has the following contact phone number (954) 524-6054.

The enumeration date for this NPI number is 8/22/2013 and was last updated on 8/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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