Organization
GSH, LLC
Active
Other names
Good Samaritan Homes, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TWYMAN DWAYNE MILLERTON (BUSINESS DEVELOPMENT MANAGER)
(937) 235-0780
Entity
Organization
Contact information
Practice address
3690 DAYTON PARK DR, DAYTON, OH 45414-4406
(937) 235-0780
(937) 235-0788
Mailing address
3690 DAYTON PARK DR, DAYTON, OH 45414-4406
(937) 235-0780
(937) 235-0788
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5702896
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2484986
—
OH
Enumeration date
08/18/2011
Last updated
08/18/2011
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