OrganizationActive
Goforth Residential Services LLC
NPI 1447004262 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Avon, IN
Provider details
- NPI number
- 1447004262
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Jeanne Sinzinkayo, Manager
Mailing address
2413 Prophetstown Rd
Avon, IN 46123-5921
Registry dates
- Enumerated
- 2024-04-16
- Last updated
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.