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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
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