NPI 1508493016

Good Care Network LLC

Organisation Assisted Living Facility (Mental Illness) Prescott, AZ

Practice location

Address: 4775 E Kristen Dr, Prescott, AZ 86301-5803
Phone: (313) 434-2723

Authorised official

Name: Dominique Giddings
Title: Executive Director
Phone: (313) 434-2723

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Registry record

NPI: 1508493016
Entity type: Organization
NPI issued: 25 Mar 2020
Record last updated: 25 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.