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General NPI Number Information
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NPI Number | 1588300503
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Entity Type | Organization
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Legal Business Name | GOODLIFE SENIOR LIVING MANAGEMENT COMPANY, INC
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 108 VISION DR
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City | RUIDOSO
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State | NM
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Zip | 88345-6350
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Country | US
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Telephone | 575-315-0758
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1278
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City | RUIDOSO
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State | NM
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Zip | 88355-1278
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Country | US
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Telephone | 575-630-0180
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Fax |
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Authorized Official
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Title or Position | HR & FINANCE DIRECTOR
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Name | MS. NATALIE ANNE CARR
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Credential |
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Telephone | 210-823-2936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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