Organization
GOLDEN STATE ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADONNA MARIE HASHEM (CEO)
(480) 326-6607
Entity
Organization
Contact information
Practice address
1120 E APPALOOSA RD # RC, GILBERT, AZ 85296-3029
(480) 326-6607
Mailing address
1120 E APPALOOSA RD # RC, GILBERT, AZ 85296-3029
(480) 326-6607
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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