Organization Name: | GOOD NEWS CARE CENTER |
NPI Number: | 1629304936 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL M DAILY (EXECUTIE DIRECTOR) |
Mailing Address: | 101 S Redland Rd Florida City |
State: | FL US |
Postal Code: | 330344630 |
Phone Number: | 3052462844 |
Fax Number: | 3052462844 |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | 261QP2300X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |