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Organization
GOOD LIFE HOME HEALTH
Active
Organization
GOOD LIFE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATESHA KING (CEO)
(909) 332-7792
Entity
Organization
Contact information
Practice address
1264 S WATERMAN AVE STE 27, SAN BERNARDINO, CA 92408-2848
(909) 332-7792
(909) 494-7593
Mailing address
1264 S WATERMAN AVE STE 27, SAN BERNARDINO, CA 92408-2848
(909) 332-7792
(909) 494-7593
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
06/03/2021
Last updated
04/14/2022
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