Provider Demographics
NPI:1942472006
Name:GOLDEN ABBEY ENTERPRISES II INC
Entity Type:Organization
Organization Name:GOLDEN ABBEY ENTERPRISES II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SALDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-763-9800
Mailing Address - Street 1:1321 HERBERT ST
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-4135
Mailing Address - Country:US
Mailing Address - Phone:386-763-9800
Mailing Address - Fax:386-763-0828
Practice Address - Street 1:1321 HERBERT ST
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-4135
Practice Address - Country:US
Practice Address - Phone:386-763-9800
Practice Address - Fax:386-763-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty