Healthcare Provider Details

I. General information

NPI: 1629149836
Provider Name (Legal Business Name): LAHS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 11/21/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E. INTERSTATE 2 STE B
PHARR TX
78577-6560
US

IV. Provider business mailing address

105 E. INTERSTATE 2 STE B
PHARR TX
78577-6560
US

V. Phone/Fax

Practice location:
  • Phone: 956-783-1818
  • Fax: 956-783-7709
Mailing address:
  • Phone: 956-783-1818
  • Fax: 956-783-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number116784
License Number StateTX

VIII. Authorized Official

Name: MRS. GLORIA M. ALVARADO
Title or Position: CEO
Credential:
Phone: 956-783-1818