Healthcare Provider Details

I. General information

NPI: 1851200927
Provider Name (Legal Business Name): GOOD LIVING CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9107 WOODHALL XING N
BROOKLYN PARK MN
55443-1622
US

IV. Provider business mailing address

9107 WOODHALL XING N
BROOKLYN PARK MN
55443-1622
US

V. Phone/Fax

Practice location:
  • Phone: 763-245-7957
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAMARIS NYABEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 763-245-7957