| Gold Coast Residence And Services Company | |
|
49 Day St Apt 213 Norwalk CT 06854-4903 | |
| (203) 952-7237 | |
| Not Available |
| Full Name | Gold Coast Residence And Services Company |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 49 Day St Apt 213, Norwalk, Connecticut |
| Authorized Official Name and Position | Nicole Barstow (CEO) |
| Authorized Official Contact | 2039527237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Residence And Services Company 49 Day St Apt 213 Norwalk CT 06854-4903 Ph: (203) 952-7237 | Gold Coast Residence And Services Company 49 Day St Apt 213 Norwalk CT 06854-4903 Ph: (203) 952-7237 |
| NPI Number | 1912528589 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912528589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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