Provider Demographics
NPI:1629304936
Name:GOOD NEWS CARE CENTER
Entity Type:Organization
Organization Name:GOOD NEWS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAILY
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:305-246-2844
Mailing Address - Street 1:101 S REDLAND RD
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-4630
Mailing Address - Country:US
Mailing Address - Phone:305-246-2844
Mailing Address - Fax:305-246-2822
Practice Address - Street 1:101 S REDLAND RD
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-4630
Practice Address - Country:US
Practice Address - Phone:305-246-2844
Practice Address - Fax:305-246-2844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2300X261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA