Provider Demographics
NPI:1184767121
Name:GOOD LIFE RESOURCES, INC.
Entity type:Organization
Organization Name:GOOD LIFE RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-906-3344
Mailing Address - Street 1:18653 VENTURA BLVD
Mailing Address - Street 2:SUITE 139
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4103
Mailing Address - Country:US
Mailing Address - Phone:818-906-3344
Mailing Address - Fax:818-705-5533
Practice Address - Street 1:18653 VENTURA BLVD
Practice Address - Street 2:SUITE 139
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4103
Practice Address - Country:US
Practice Address - Phone:818-906-3344
Practice Address - Fax:818-705-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No333600000XSuppliersPharmacyGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty