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Organization
GOOD LIFE SERVICES LLC
Active
Organization
GOOD LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUTOMBO MUTOMBO (OWNER)
(220) 789-4053
Entity
Organization
Contact information
Practice address
79 STATE ST, GORHAM, ME 04038-1012
(207) 894-0537
Mailing address
79 STATE ST, GORHAM, ME 04038-1012
(207) 894-0537
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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