Organization
GOSHEN HOME AND CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESHOLA HUTCHINS (PRESIDENT)
(734) 419-1337
Entity
Organization
Contact information
Practice address
33636 GERTRUDE STREET, WAYNE, MI 48184
(734) 419-1337
Mailing address
33636 GERTRUDE STREET, WAYNE, MI 48184
(734) 419-1337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
04/01/2023
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