Organization
THE GOOD LIFE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDA MRSHALL (EXECUTIVE DIRECTOR)
(713) 653-4800
Entity
Organization
Contact information
Practice address
5100 WESTHEIMER RD, STE 200, HOUSTON, TX 77056-5596
(713) 653-4800
(888) 495-2634
Mailing address
PO BOX 2475, BELLAIRE, TX 77402-2475
(713) 653-4800
(888) 495-2634
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320600000X
—
TX
05
—
320800000X
—
TX
05
—
320900000X
—
TX
05
—
322D00000X
—
TX
05
—
343800000
—
TX
05
—
343900000X
—
TX
05
—
347C00000X
—
TX
Enumeration date
07/13/2013
Last updated
07/13/2013
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