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Organization
INDEPENDENT LIVING DESIGN LLC
Active
Organization
INDEPENDENT LIVING DESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM MANDEL (MANAGER)
(214) 273-7267
Entity
Organization
Contact information
Practice address
4514 COLE AVE, SUITE 600, DALLAS, TX 75205-5412
(214) 273-7267
Mailing address
4514 COLE AVE, SUITE 600, DALLAS, TX 75205-5412
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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