# GOOD LIFE HOME HEALTH CARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790786150
- **Authorized official:** JEMIMA MARTINEZ-CRUZ RN (ADMINISTRATOR)
- **Authorized official phone:** (323) 478-9471

## Contact information

- **Practice address:** 2501 COLORADO BLVD, UNIT G, LOS ANGELES, CA 90041-1055
- **Practice address phone:** (323) 478-9471
- **Practice address fax:** (323) 478-9475
- **Mailing address:** 2501 COLORADO BLVD, UNIT G, LOS ANGELES, CA 90041-1055
- **Mailing address phone:** (323) 478-9471
- **Mailing address fax:** (323) 478-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | CA | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 11/26/2007