Organization
GOLDEN STAR RESIDENTIAL CARE LLC
Active
Other names
Golden Star Residential care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HURIYA L GERBA RN (DIRECTOR/OWNER)
(702) 716-4099
Entity
Organization
Contact information
Practice address
8143 IVYWOOD AVE S, COTTAGE GROVE, MN 55016-3277
(702) 716-4099
Mailing address
8143 IVYWOOD AVE S, COTTAGE GROVE, MN 55016-3277
(702) 716-4099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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