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Organization

CHS - GOSHEN, INC.

Active
Other names
Venetian Gardens
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN COLLERAN (PRESIDENT)
(440) 614-0168
Entity
Organization

Contact information

Practice address
1650 STATE ROUTE 28, LOVELAND, OH 45140-8723
(513) 722-0700
(513) 722-0705
Mailing address
25000 COUNTRY CLUB BLVD, SUITE 255, NORTH OLMSTED, OH 44070-5344
(440) 614-0160
(440) 614-0168

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2751508
OH
Enumeration date
03/30/2007
Last updated
04/16/2013
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