Organization
ENHANCED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD TITUS SR. (CEO)
(972) 600-9727
Entity
Organization
Contact information
Practice address
3317 FINLEY RD STE 155, IRVING, TX 75062-8722
(972) 600-9727
Mailing address
3317 FINLEY RD STE 155, IRVING, TX 75062-8722
(972) 600-9727
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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