Organization
LIFE LINC HABACO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MURRAY ALLEN ROBINSON (PRESIDENT)
(800) 521-2106
Entity
Organization
Contact information
Practice address
1228 VILLAGE WAY, SUITE N, SANTA ANA, CA 92705-4747
(714) 480-1562
(714) 480-1566
Mailing address
1228 VILLAGE WAY, SUITE N, SANTA ANA, CA 92705-4747
(714) 480-1562
(714) 480-1566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01628F
—
CA
Enumeration date
06/10/2006
Last updated
08/22/2020
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