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NPI Code Detail

MEDICARE: GOLDCOST LOVING CARE

MEDICARE: GOLDCOST LOVING CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111493OTHERFLLICENSE

General Provider Information

NPI Number : 1437412269
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDCOST LOVING CARE
Provider Business Mailing Address
First Line : 5517 HAYES ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-4632
Country : US
Telephone Number : 954-534-9401
Fax Number :
Provider Business Practice Location Address
First Line : 5517 HAYES ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-4632
Country : US
Telephone Number : 954-534-9401
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. GOLDIE PIERRE
Credential :
Telephone Number : 954-534-9401
Provider Enumeration Date : 06/18/2012
Last Update Date : 06/18/2012

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Directions to “GOLDCOST LOVING CARE ” Practice Location

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