# GOODLIFE HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053936427
- **Authorized official:** DAVID KEATLEY WALDRON (MANAGING MEMBER)
- **Authorized official phone:** (863) 382-4445

## Contact information

- **Practice address:** 13 RYANT BLVD, SEBRING, FL 33870-8075
- **Practice address phone:** (863) 382-4445
- **Practice address fax:** (863) 382-4447
- **Mailing address:** 13 RYANT BLVD, SEBRING, FL 33870-8075
- **Mailing address phone:** (863) 382-4445
- **Mailing address fax:** (863) 382-4447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2020
- **Last updated:** 06/11/2020