- Enrollment id
- O20051108000187
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1558302356
- Multiple npi flag
- N
- Ccn
- 679337
- Associate id
- 0749190288
- Organization name
- GOOD HEALTH SERVICES, INC.
- Doing business as name
- GOOD HEALTH SERVICES INC
- Incorporation date
- 2002-12-20
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9304 FOREST LN
- Address line 2
- STE S228
- City
- DALLAS
- State
- TX
- Zip code
- 752436238