Organization · Type 2 NPI
Golden State Enterprises LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gilbert, AZ
Practice location
1120 E Appaloosa Rd # Rc
Gilbert, AZ 85296-3029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1679325336
Golden State Enterprises LLC's National Provider Identifier is 1679325336, issued on Apr 4, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gilbert, AZ. The record was last updated on Apr 4, 2024.