Organization
BASHOR HOME OF THE UNITED METHODIST CHURCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PHILLIPS (PRESIDENT/CEO)
(574) 875-5117
Entity
Organization
Contact information
Practice address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
(574) 875-5284
Mailing address
PO BOX 843, GOSHEN, IN 46527-0843
(574) 875-5117
(574) 875-5284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
01/14/2016
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