Goshen Home and Care Services LLC

NPI #1164120341 in Wayne, Michigan

Provider Information

NPI Number: 1164120341
Entity Type: Organization
Organization Name: Goshen Home and Care Services LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 17, 2023
Last Updated: Apr 1, 2023

Practice Location

Address: 33636 GERTRUDE STREET
City: Wayne
State: Michigan
ZIP Code: 48184
Phone: (734) 419-1337

Authorized Official

Name: ADESHOLA HUTCHINS
Title: PRESIDENT
Phone: (734) 419-1337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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