NPI 1124663919
Good Life Services LLC
Practice location
- Address
- 79 State St, Gorham, ME 04038-1012
- Phone
- (207) 894-0537
Authorised official
- Name
- Mutombo Mutombo
- Title
- Owner
- Phone
- (220) 789-4053
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1124663919
- Entity type
- Organization
- NPI issued
- 15 Nov 2019
- Record last updated
- 15 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.