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General NPI Number Information
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NPI Number | 1982759528
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Entity Type | Organization
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Legal Business Name | GOLDENCARE OF WELLINGTON
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13752 YARMOUTH DR B
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City | WELLINGTON
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State | FL
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Zip | 33414-2720
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Country | US
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Telephone | 561-798-0944
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Fax | 561-753-1932
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Provider Business Mailing Address
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Address Line | 13752 YARMOUTH DR B
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City | WELLINGTON
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State | FL
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Zip | 33414-2720
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Country | US
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Telephone | 561-798-0944
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Fax | 561-753-1932
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Authorized Official
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Title or Position | CEO
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Name | MS. ALEXANDRU BRAICA
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Credential |
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Telephone | 561-798-0944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALF8323
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License Number State | FL
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