# GOSHEN HOME HEALTH CARE LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093318826
- **Authorized official:** MS. ALETHEA HOLMES (CEO)
- **Authorized official phone:** (478) 957-8431

## Contact information

- **Practice address:** 246 TRAVELERS REST RD, MONTEZUMA, GA 31063-2232
- **Practice address phone:** (478) 957-8431
- **Mailing address:** PO BOX 323, MONTEZUMA, GA 31063-0323
- **Mailing address phone:** (478) 957-8431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/16/2020
