# GOOD LIFE HEALTHCARE SOLUTIONS, INC

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

## Provider details

- **NPI number:** 1962924738
- **Authorized official:** MRS. DEBRA MARIE HALL - FISHER RDH, RDA (PRESIDENT/ CEO)
- **Authorized official phone:** (865) 333-1611

## Contact information

- **Practice address:** 9329 MIDDLEBROOK PIKE, KNOXVILLE, TN 37931-4704
- **Practice address phone:** (865) 333-1611
- **Mailing address:** PO BOX 30608, KNOXVILLE, TN 37930-0608
- **Mailing address phone:** (865) 333-1611
- **Mailing address fax:** (800) 879-9969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | DS0000004867 | TN | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 06/16/2018