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General NPI Number Information
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NPI Number | 1891096087
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Entity Type | Organization
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Legal Business Name | GOODLIFE CARE, LLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 1400 VETERANS MEMORIAL HWY SE SUITE 134 #305
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City | MABLETON
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State | GA
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Zip | 30126-2945
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Country | US
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Telephone | 888-689-7657
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Fax | 866-672-9398
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Provider Business Mailing Address
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Address Line | 1400 VETERANS MEMORIAL HWY SE SUITE 134 #305
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City | MABLETON
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State | GA
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Zip | 30126-2945
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Country | US
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Telephone | 888-689-7657
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Fax | 866-672-9398
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. PAUL ANTHONY WRIGHT
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Credential |
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Telephone | 770-783-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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