| NPI | 1083081954 |
|---|---|
| Doing Business As | GOETHE HOUSE |
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID WINANS Qidp 559-449-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |