# GREAT LIFE SENIOR CARE LLC

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

## Provider details

- **NPI number:** 1467134916
- **Authorized official:** MR. JASON ELLIOT WHITE (CEO)
- **Authorized official phone:** (951) 679-9592

## Contact information

- **Practice address:** 29158 SHADOW HILLS ST, MENIFEE, CA 92584-7671
- **Practice address phone:** (951) 679-9592
- **Mailing address:** 29158 SHADOW HILLS ST, MENIFEE, CA 92584-7671
- **Mailing address phone:** (951) 679-9592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2023
- **Last updated:** 08/03/2023