Organization
GOOD LIFE HOME AND COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DEHART (OWNER)
(318) 608-2133
Entity
Organization
Contact information
Practice address
199 WESS LILY RD, BERNICE, LA 71222-5225
(318) 608-2133
Mailing address
199 WESS LILY RD, BERNICE, LA 71222-5225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/08/2021
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