Organization
GOOD CARE NETWORK LLC
Active
Organization
GOOD CARE NETWORK LLC
Active
Other names
Good Care Network LLC ventura
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE GIDDINGS (ADMINISTRATOR)
(313) 434-2723
Entity
Organization
Contact information
Practice address
2215 VENTURA DR, BULLHEAD CITY, AZ 86442-5824
(928) 219-4195
Mailing address
2744 MONA LISA ST, HENDERSON, NV 89044-0319
(313) 434-2723
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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