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Individual
ARNDREA LASHA GOOCH
Active
Individual
ARNDREA LASHA GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
10/15/2017
Last updated
10/15/2017
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