OrganizationActive
Good Care Network LLC
NPI 1508493016 · Assisted Living Facility (Mental Illness) · Prescott, AZ
Provider details
- NPI number
- 1508493016
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dominique Giddings, Executive Director(313) 434-2723
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4775 E Kristen Dr
Prescott, AZ 86301-5803
Phone: (313) 434-2723
Approximate (ZIP-level) locationGet directions
Mailing address
4775 E Kristen Dr
Prescott, AZ 86301-5803
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.