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General NPI Number Information
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NPI Number | 1649589656
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Entity Type | Organization
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Legal Business Name | GOOD LIVING HOMECARE LLC
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Dates
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Enumeration Date | 09/26/2010
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 1925 E BELT LINE RD STE 216
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City | CARROLLTON
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State | TX
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Zip | 75006-5890
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Country | US
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Telephone | 469-214-8925
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Fax | 469-754-0352
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Provider Business Mailing Address
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Address Line | 1925 E BELT LINE RD STE 216
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City | CARROLLTON
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State | TX
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Zip | 75006-5890
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Country | US
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Telephone | 469-214-8925
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Fax | 469-754-0352
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Authorized Official
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Title or Position | DIRECTOR
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Name | JUSTIN J JOSEPH
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Credential |
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Telephone | 469-214-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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