Organization
ALS GOSHEN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN CASEY (PRESIDENT)
(740) 350-9095
Entity
Organization
Contact information
Practice address
1659 STATE ROUTE 28, GOSHEN, OH 45122-9705
(740) 415-1138
(201) 661-2846
Mailing address
26261 MAIN ST STE 2, COOLVILLE, OH 45723-9205
(740) 415-1138
(201) 661-2846
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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