Provider Demographics
NPI:1992396923
Name:GREATER GOOD CARE SERVICES CORPORATION
Entity Type:Organization
Organization Name:GREATER GOOD CARE SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ELDOSOUGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-697-9802
Mailing Address - Street 1:404 TOWNE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1200
Mailing Address - Country:US
Mailing Address - Phone:732-658-3771
Mailing Address - Fax:732-658-3774
Practice Address - Street 1:506 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:RIVER VALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-5602
Practice Address - Country:US
Practice Address - Phone:201-697-9802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services