Organization
ENHANCED LIVING DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON WOODS B874609 (PRESIDENT/CEO)
(800) 598-9181
Entity
Organization
Contact information
Practice address
27 SPECTRUM POINTE DR, SUITE 306, LAKE FOREST, CA 92630-2273
(800) 598-9181
Mailing address
27 SPECTRUM POINTE DR, SUITE 306, LAKE FOREST, CA 92630-2273
(800) 598-9181
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
B874609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B874609
CONTRACTOR LICENSE
CA
Enumeration date
10/02/2007
Last updated
10/02/2007
Update your record
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