Provider Demographics
NPI:1548853864
Name:GOOD HANDS CARE LLC
Entity type:Organization
Organization Name:GOOD HANDS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAHLAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEROB
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:480-495-5569
Mailing Address - Street 1:3469 S BLUEJAY DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-2442
Mailing Address - Country:US
Mailing Address - Phone:480-495-5569
Mailing Address - Fax:
Practice Address - Street 1:3469 S BLUEJAY DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-2442
Practice Address - Country:US
Practice Address - Phone:480-495-5569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care