Organization
GOSHEN GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN OKE (OWNER)
(215) 370-1949
Entity
Organization
Contact information
Practice address
100 RAMAPO TRL APT A7, ALLENTOWN, PA 18104-8587
(215) 370-1949
Mailing address
4478 STOLE RD, EMMAUS, PA 18049-5222
(215) 370-1949
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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