Provider Demographics
NPI:1588300503
Name:GOODLIFE SENIOR LIVING MANAGEMENT COMPANY, INC
Entity type:Organization
Organization Name:GOODLIFE SENIOR LIVING MANAGEMENT COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR & FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-823-2936
Mailing Address - Street 1:PO BOX 1278
Mailing Address - Street 2:
Mailing Address - City:RUIDOSO
Mailing Address - State:NM
Mailing Address - Zip Code:88355-1278
Mailing Address - Country:US
Mailing Address - Phone:575-630-0180
Mailing Address - Fax:
Practice Address - Street 1:108 VISION DR
Practice Address - Street 2:
Practice Address - City:RUIDOSO
Practice Address - State:NM
Practice Address - Zip Code:88345-6350
Practice Address - Country:US
Practice Address - Phone:575-315-0758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility