# GOOD CARE NETWORK LLC

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

## Provider details

- **NPI number:** 1710333760
- **Authorized official:** MS. DOMINIQUE GIDDINGS (ADMINISTRATOR)
- **Authorized official phone:** (313) 434-2723

## Contact information

- **Practice address:** 15672 W DEVONSHIRE AVE, GOODYEAR, AZ 85395-7773
- **Practice address phone:** (623) 271-8162
- **Mailing address:** 15672 W DEVONSHIRE AVE, GOODYEAR, AZ 85395-7773
- **Mailing address phone:** (623) 271-8162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | BH4877 | AZ | Yes |

## Other

- **Enumeration date:** 05/09/2016
- **Last updated:** 05/09/2016