Organization · NPI-2
A Good Life Assisted Living LLC
Assisted Living Facility · Baltimore, MD
NPI number1124601273
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1124601273
- Entity type
- Organization (NPI-2)
- Legal business name
- A Good Life Assisted Living LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2021
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
731 Hollen RdBaltimore, MD 21212-2717
Phone 443-493-7577
Mailing address
731 Hollen RdBaltimore, MD 21212-2717
Phone 443-493-7577
Authorized official
Aaron Payne
Director
4434937577
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