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Organization
GOOD OLD HOME CARE SERVICES
Active
Organization
GOOD OLD HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI DANDRIDGE (OWNER/CEO)
(815) 262-6780
Entity
Organization
Contact information
Practice address
924 N JOHNSTON AVE, ROCKFORD, IL 61101-5246
(815) 262-6780
(815) 708-6163
Mailing address
PO BOX 6286, ROCKFORD, IL 61125-1286
(815) 262-6780
(815) 708-6163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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