Organization
GOOD LIFE AT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH COBB (CEO)
(541) 646-7151
Entity
Organization
Contact information
Practice address
1744 E MCANDREWS RD STE I, MEDFORD, OR 97504-5576
(541) 646-7151
(541) 494-0910
Mailing address
1744 E MCANDREWS RD STE I, MEDFORD, OR 97504-5576
(541) 646-7151
(541) 494-0910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
152274
OR
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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