Organization
GATHERING PLACE OF LICKING COUNTY, LLC
Active
Organization
GATHERING PLACE OF LICKING COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYSSA SUE GOLDEN (OWNER)
(740) 975-3372
Entity
Organization
Contact information
Practice address
35 GAINOR AVE, NEWARK, OH 43055-4817
(740) 975-3372
Mailing address
35 GAINOR AVE, NEWARK, OH 43055-4817
(740) 975-3372
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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