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Organization
GOODRICK HOME CARE
Active
Organization
GOODRICK HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERLA CROWE (OWNER)
(620) 845-2456
Entity
Organization
Contact information
Practice address
510 N OSAGE ST, CALDWELL, KS 67022-1138
(620) 845-2456
Mailing address
510 N OSAGE ST, CALDWELL, KS 67022-1138
(620) 845-2456
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B096001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300080A
—
KS
Enumeration date
09/06/2006
Last updated
07/02/2008
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