Organization
GOALS SUPPORTIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SILVA RICHARDSON (DIRECTOR OF OPERATIONS)
(513) 212-5655
Entity
Organization
Contact information
Practice address
4139 DUFFY CT, FAIRFIELD TOWNSHIP, OH 45011-9389
(513) 212-5655
Mailing address
4139 DUFFY CT, FAIRFIELD TOWNSHIP, OH 45011-9389
(513) 212-5655
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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