Organization
GOOD LIFE ACTIVITY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BLACKMAN (CEO/ADMINISTRATOR)
(336) 383-8977
Entity
Organization
Contact information
Practice address
2 CENTERVIEW DR STE 64, GREENSBORO, NC 27407-3708
(336) 383-8977
Mailing address
2 CENTERVIEW DR STE 64, GREENSBORO, NC 27407-3708
(336) 383-8977
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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