Organization
GOOD LIFE IV HYDRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA OCASIO RN (OWNER)
(203) 543-8045
Entity
Organization
Contact information
Practice address
1582 CARBONDALE ROW, KINDRED, FL 34744-6444
(203) 543-8045
Mailing address
1582 CARBONDALE ROW, KINDRED, FL 34744-6444
(203) 543-8045
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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