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Organization

DAVIESS COUNTY HOSPITAL

Active
Other names
The Laurels of Goshen, Restoracy of Goshen
Organization subpart
No

Provider details

NPI number
Authorized official
DERON STEINER (BOARD CHAIR)
(812) 254-2760
Entity
Organization

Contact information

Practice address
1480 SANDPIPER LN, GOSHEN, IN 46526-7005
(317) 653-5767
Mailing address
1480 SANDPIPER LN, GOSHEN, IN 46526-7005
(317) 653-5767

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0161052010-000
INDIANA DEPARTMENT OF REVENUE ID
IN
05
300012886
IN
Enumeration date
10/17/2017
Last updated
03/06/2025
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