Organization
GOOD LIFE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIF MACDONALD (OWNER)
(540) 740-4688
Entity
Organization
Contact information
Practice address
178 EARLY ST, NEW MARKET, VA 22844-9600
(540) 740-4688
(540) 740-8808
Mailing address
178 EARLY ST, NEW MARKET, VA 22844-9600
(540) 740-4688
(540) 740-8808
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2377-01-001
VA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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