Organization
GOOD LIFE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY B MOHAR DC (DC/OWNER)
(864) 962-3116
Entity
Organization
Contact information
Practice address
304 S MAIN ST, SIMPSONVILLE, SC 29681-2606
(864) 962-3116
Mailing address
304 S MAIN ST, SIMPSONVILLE, SC 29681-2606
(864) 962-3116
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X012196-1
NY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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