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Organization
MINDFUL LIVING & CARE, LLC
Active
Organization
MINDFUL LIVING & CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MARIE GOELZ (PRESIDENT)
(708) 299-0956
Entity
Organization
Contact information
Practice address
8204 COOP AVE, JOLIET, IL 60431-5400
(708) 299-0956
(815) 265-6615
Mailing address
1147 BROOKFOREST AVE # 252, SHOREWOOD, IL 60404-8845
(708) 299-0956
(815) 265-6615
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/28/2019
Last updated
08/21/2022
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