| Organization Name: | GOLDEN REACH CARE |
| NPI Number: | 1003149758 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMUD KEYSE (CEO) |
| Mailing Address: | 1110 Morse Rd Ste 206 Columbus |
| State: | OH US |
| Postal Code: | 432296325 |
| Phone Number: | 6145920224 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 200924700216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |