Organization · Type 2 NPI
Good Life Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · New Market, VA
Practice location
178 Early St
New Market, VA 22844-9600
Fax (540) 740-8808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2377-01-001 (VA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1447701750
Good Life Corporation's National Provider Identifier is 1447701750, issued on Oct 21, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in New Market, VA. The record was last updated on Oct 21, 2016.