| NPI | 1336888239 |
|---|---|
| Other Name | GOOD CUSTODIAN NON-EMERGENCY MEDICAL TRANSPORTATION |
| Other Name | GOOD CUSTODIAN HOME HEALTH CARE AGENCY |
| Doing Business As | GOOD CUSTODIAN SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | PHILOMENA DESMOND-OGUGUA Manager 571-589-7866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 372500000X Chore Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |