Organization
WHOLE LIFE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY L GOFORTH (OWNER)
(517) 861-7337
Entity
Organization
Contact information
Practice address
3671 LOTUS DR, WATERFORD TOWNSHIP, MI 48329-1350
(517) 861-7337
Mailing address
3671 LOTUS DR, WATERFORD TOWNSHIP, MI 48329-1350
(517) 861-7337
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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