Organization
DEVANK LLC
Active
Organization
DEVANK LLC
Active
Parent organization
202206111274
Other names
Golden Outlook Senior Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
202206111274
Authorized official
DR. DEVADATT M MISHAL MD (MANAGING MEMBER)
(562) 508-9634
Entity
Organization
Contact information
Practice address
2157 W LA PALMA AVENUE, ANAHEIM, CA 92801
(562) 508-9634
Mailing address
3728 E WOODBINE RD, ORANGE, CA 92867-2112
(562) 508-9634
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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