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Contact Information

GOOD LIFE HEALTHCARE SOLUTIONS, INC
9329 MIDDLEBROOK PIKE
KNOXVILLE, TN37931-4704
 Phone: 865-333-1611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for GOOD LIFE HEALTHCARE SOLUTIONS, INC

NPI Number 1962924738
LBN Legal business name GOOD LIFE HEALTHCARE SOLUTIONS, INC
Authorized official DEBRA HALL - FISHER - (PRESIDENT/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2017
Last updated 06/16/2018 - About 8 years ago
Identifiers
TN License # DS0000004867
TN Other 1003961780 CHARLES DANIEL FISHER, DDS
TN Other 1417052903 DAVID B. LEE, DDS
TN Other 1578665923 RONALD W. SMITH, DDS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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