Organization
GOLDENSTAR GROUP HOMES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED SALAH (CEO)
(515) 707-9155
Entity
Organization
Contact information
Practice address
2802 FLEUR DR APT 102, DES MOINES, IA 50321-1735
(515) 707-9155
Mailing address
2802 FLEUR DR APT 102, DES MOINES, IA 50321-1735
(515) 707-9155
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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