Organization
GOOD LIFE RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL KLINGER (MANAGER)
(818) 906-3344
Entity
Organization
Contact information
Practice address
18653 VENTURA BLVD, SUITE 139, TARZANA, CA 91356-4103
(818) 906-3344
(818) 705-5533
Mailing address
18653 VENTURA BLVD, SUITE 139, TARZANA, CA 91356-4103
(818) 906-3344
(818) 705-5533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
12/18/2007
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