# GOSHEN CARE CENTER

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

## Provider details

- **NPI number:** 1639274756
- **Authorized official:** DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
- **Authorized official phone:** (602) 747-4000

## Contact information

- **Practice address:** 2009 LARAMIE ST, TORRINGTON, WY 82240-1533
- **Practice address phone:** (307) 532-4038
- **Mailing address:** 1441 N 12TH ST, PHOENIX, AZ 85006-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 06-135 | WY | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020