MEDICARE: L1LA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1568320299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L1LA

Provider Business Mailing Address
First Line	:	1807 DEVON DR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31721-6234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 GILLIONVILLE RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-3139
Country	:	US
Telephone Number	:	229-854-9486
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SAGAR PATEL
Credential	:
Telephone Number	:	229-854-9486

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “L1LA ” Practice Location

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