Organization
GOOD CUSTODIAN SERVICES, LLC
Active
Parent organization
GOOD CUSTODIAN SERVICES, LLC
Other names
Good Custodian Non-Emergency Medical Transportation, Good Custodian Home Health Care Agency, Good Custodian Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD CUSTODIAN SERVICES, LLC
Authorized official
PHILOMENA DESMOND-OGUGUA (MANAGER)
(571) 589-7866
Entity
Organization
Contact information
Practice address
15426 BEVANWOOD DR, WOODBRIDGE, VA 22193-5716
(571) 589-7866
(703) 373-2813
Mailing address
15426 BEVANWOOD DR, WOODBRIDGE, VA 22193-5716
(571) 589-7866
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
372500000X
Chore Provider
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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