Organization
GOSHEN CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E DAHLEN (SR VICE PRESIDENT FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2009 LARAMIE ST, TORRINGTON, WY 82240-1533
(307) 532-4038
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-135
WY
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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