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General NPI Number Information
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NPI Number | 1205741329
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Entity Type | Organization
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Legal Business Name | THE GOCH BOYS FAMILY CENTERED CARE
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 3911 ALTAIR LN
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City | LOUISVILLE
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State | KY
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Zip | 40219-4225
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Country | US
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Telephone | 502-457-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 ALTAIR LN
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City | LOUISVILLE
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State | KY
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Zip | 40219-4225
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Country | US
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Telephone | 502-457-2583
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/EXECUTIVE DIRECTOR
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Name | ABRAHAM DENG GOCH
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Credential | A.A, BA, MA, CPR
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Telephone | 502-457-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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