Golden Star Residential Care LLC
NPI #1699414219 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1699414219
- Entity Type
- Organization
- Organization Name
- Golden Star Residential Care LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 1, 2022
- Last Updated
- Jun 1, 2022
Practice Location
- Address
- 8143 IVYWOOD AVE S
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-3277
- Phone
- (702) 716-4099
Authorized Official
- Name
- MISS HURIYA L GERBA, RN
- Title
- DIRECTOR/OWNER
- Phone
- (702) 716-4099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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