Organization
GOSHEN HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILA P PEELE RN, BSN (OWNER)
(252) 398-2556
Entity
Organization
Contact information
Practice address
705 SUNSET AVE E, AHOSKIE, NC 27910-3548
(252) 398-2558
(252) 558-0498
Mailing address
910 CHURCH ST W, AHOSKIE, NC 27910-2908
(252) 398-2558
(252) 558-0498
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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