Provider Demographics
NPI:1770023491
Name:GOODCOMPANY AOP INC
Entity type:Organization
Organization Name:GOODCOMPANY AOP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLEON
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-492-4100
Mailing Address - Street 1:8946 PREST ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2206
Mailing Address - Country:US
Mailing Address - Phone:313-492-4100
Mailing Address - Fax:313-273-7827
Practice Address - Street 1:8946 PREST ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228
Practice Address - Country:US
Practice Address - Phone:313-492-4100
Practice Address - Fax:313-273-7827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care