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Good Life Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Market, Virginia
NPI 1447701750

Good Life Corporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New Market, VA. Good Life Corporation practices in New Market, VA. The NPI Number for Good Life Corporation is 1447701750 and holds a License No. 2377-01-001 (Virginia).

The current practice location address for Good Life Corporation is 178 Early St, New Market, VA and can be reached out via phone at 540-740-4688 and via fax at 540-740-8808.

Location: 178 Early St, New Market, VA, 22844-9600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447701750
Provider Name
Good Life Corporation
Credential
Provider Entity Type
Organization
Address
178 Early St, New Market, VA, 22844-9600
Phone Number
540-740-4688
Fax Number
540-740-8808
Provider Enumeration Date
10/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
178 Early St
City
New Market
State
Virginia
Zip
22844-9600
Phone Number
540-740-4688
Fax Number
540-740-8808
person
Provider Business Mailing Address Details
Address
178 Early St
City
New Market
State
Virginia
Zip
22844-9600
Phone Number
540-740-4688
Fax Number
540-740-8808
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
2377-01-001 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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