# GOOD OLD HOME CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609141498
- **Authorized official:** MRS. JODI DANDRIDGE (OWNER/CEO)
- **Authorized official phone:** (815) 262-6780

## Contact information

- **Practice address:** 924 N JOHNSTON AVE, ROCKFORD, IL 61101-5246
- **Practice address phone:** (815) 262-6780
- **Practice address fax:** (815) 708-6163
- **Mailing address:** PO BOX 6286, ROCKFORD, IL 61125-1286
- **Mailing address phone:** (815) 262-6780
- **Mailing address fax:** (815) 708-6163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012