Organization
GOOD LIFE ADVOCATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BLAKE HENSON (OWNER)
(502) 541-0104
Entity
Organization
Contact information
Practice address
1605 FORT AVE, VINE GROVE, KY 40175-6376
(270) 945-2114
Mailing address
509 WENDOVER AVE, LOUISVILLE, KY 40207-3741
(502) 541-0104
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KY
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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