| NPI | 1447832563 |
|---|---|
| Doing Business As | GOOD LIFE SENIOR LIVING ELMO |
| Entity Type | Organization |
| Authorized Contact | CASSIE MECHAM Medicaid Billing 435-650-2084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |