Provider Demographics
NPI:1093144834
Name:GOLDEN MANAGEMENT SERVICES OF NAPLES
Entity Type:Organization
Organization Name:GOLDEN MANAGEMENT SERVICES OF NAPLES
Other - Org Name:CHRISSY'S COVE ASSISTED LIVING FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-692-6250
Mailing Address - Street 1:5270 GOLDEN GATE PKWY
Mailing Address - Street 2:119
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7638
Mailing Address - Country:US
Mailing Address - Phone:239-692-6250
Mailing Address - Fax:
Practice Address - Street 1:5270 GOLDEN GATE PKWY
Practice Address - Street 2:119
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7638
Practice Address - Country:US
Practice Address - Phone:239-692-6250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOLDEN MANAGEMENT SERVICES OF NAPLES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility