# GOLDENSTAR GROUP HOMES LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235996315
- **Authorized official:** MR. MOHAMED SALAH (CEO)
- **Authorized official phone:** (515) 707-9155

## Contact information

- **Practice address:** 2802 FLEUR DR APT 102, DES MOINES, IA 50321-1735
- **Practice address phone:** (515) 707-9155
- **Mailing address:** 2802 FLEUR DR APT 102, DES MOINES, IA 50321-1735
- **Mailing address phone:** (515) 707-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024