Golden Manor Assisted Living Facility Llc

LBN: Golden Manor Assisted Living Facility Llc
Golden Manor Assisted Living Facility Llc is an health care organization with primary practice located at 197 Nw Gwen Lake Ave , Lake City FL 32055-3711. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Golden Manor Assisted Living Facility Llc can be contacted via phone (386) 697-9425, or through Jackson, Mardell via phone (386) 697-9425.

Contact Information

Primary practice address
197 Nw Gwen Lake Ave Lake City FL 32055-3711
Phone: (386) 697-9425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Mardell
Phone: (386) 697-9425

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1396358792
LBN Legal business name Golden Manor Assisted Living Facility Llc
DBA Doing business as
Authorized official Jackson, Mardell
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2020
Last updated Aug 25th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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