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Organization
GLSL MANAGEMENT COMPANY
Active
Organization
GLSL MANAGEMENT COMPANY
Active
Other names
Good Life Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA M. SPROULE (OWNER PARTNER / OPERATOR)
(505) 302-4515
Entity
Organization
Contact information
Practice address
15 W 100 N, ELMO, UT 84521-3985
(435) 653-2555
(435) 653-2488
Mailing address
5066 ARAPAHOE ST, POCATELLO, ID 83204-3773
(505) 302-4515
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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