Organization
GLSL MANAGEMENT COMPANY
Active
Other names
Good Life Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA M. SPROULE (OWNER PARTNER / OPERATOR)
(505) 302-4515
Entity
Organization
Contact information
Practice address
15 W 100 N, ELMO, UT 84521-3985
(435) 653-2555
(435) 653-2488
Mailing address
5066 ARAPAHOE ST, POCATELLO, ID 83204-3773
(505) 302-4515
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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