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Organization
GOOD LIFE HOME AND COMMUNITY CARE LLC
Active
Organization
GOOD LIFE HOME AND COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DEHART (OWNER)
(318) 608-2133
Entity
Organization
Contact information
Practice address
199 WESS LILY RD, BERNICE, LA 71222-5225
(318) 608-2133
Mailing address
199 WESS LILY RD, BERNICE, LA 71222-5225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/08/2021
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