NPI 1679325336

Golden State Enterprises LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gilbert, AZ

Practice location

Address: 1120 E Appaloosa Rd # Rc, Gilbert, AZ 85296-3029
Phone: (480) 326-6607

Authorised official

Name: Madonna Marie Hashem
Title: Ceo
Phone: (480) 326-6607

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1679325336
Entity type: Organization
NPI issued: 4 Apr 2024
Record last updated: 4 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.