Organization
ENHANCING LIVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTY MCCOY BA (DIRECTOR)
(323) 299-1869
Entity
Organization
Contact information
Practice address
5439 CRENSHAW BLVD., STE. 102, LOS ANGELES, CA 90043
(323) 299-1869
(323) 299-9043
Mailing address
5349 CRENSHAW BLVD STE 102, LOS ANGELES, CA 90043-1809
(323) 299-1869
(323) 299-9043
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/16/2025
Last updated
10/03/2025
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