# GOOD LIFE AT HOME CARE, LLC

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

## Provider details

- **NPI number:** 1174181259
- **Authorized official:** MICHAEL COBB (CEO)
- **Authorized official phone:** (541) 840-9264

## Contact information

- **Practice address:** 911 S PARSONS AVE STE C, BRANDON, FL 33511-6042
- **Practice address phone:** (813) 438-6306
- **Mailing address:** 409 APOLLO BEACH BLVD, APOLLO BEACH, FL 33572
- **Mailing address phone:** (813) 438-6306
- **Mailing address fax:** (813) 502-6322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2019
- **Last updated:** 10/31/2024