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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