Good Life Advocates, LLC
Organization Active NPI Case Management Agency · Vine Grove, KY
NPI 1669847620 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1669847620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- GOOD LIFE ADVOCATES, LLC
- Practice address
- 1605 Fort Ave
Vine Grove, KY 40175-6376 - Phone
- (270) 945-2114
- NPI assigned
- Dec 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Joel Blake Henson
- Title
- Owner
- Phone
- (502) 541-0104
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Good Life Advocates LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | KY | Yes |
Addresses
Primary practice location
1605 Fort Ave
Vine Grove, KY 40175-6376
Mailing address
509 Wendover Ave
Louisville, KY 40207-3741
Phone (502) 541-0104
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All providers in Vine Grove, KY · Case Management Agency in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.