Goshen Assisted Living LLC
NPI #1992070080 in Aurora, Colorado
Provider Information
- NPI Number
- 1992070080
- Entity Type
- Organization
- Organization Name
- Goshen Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 21, 2012
- Last Updated
- Mar 21, 2012
Practice Location
Authorized Official
- Name
- MR. HARIJANTO SUGIARSO
- Title
- PRESIDENT
- Phone
- (303) 353-9041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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