NPI 1891048641

Goodlife Residence LLC

Organisation Respite Care Nashville, TN

Practice location

Address: 545 McCrory Creek Rd, Nashville, TN 37214-3418
Phone: (615) 506-5164
Mailing address: PO Box 331486, Nashville, TN 37203-7514

Authorised official

Name: Shawanda D Clay
Title: Ceo
Phone: (615) 506-5164

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 0522057 (TN)

Other Respite Care providers in Tennessee →

Registry record

NPI: 1891048641
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 17 Oct 2012

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.