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NPI Code Detail

MEDICARE: LL LIRA INC.

MEDICARE: LL LIRA INC.
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
1261QA0600XAdult Day Care Clinic/CenterTX

General Provider Information

NPI Number : 1881882678
Entity Type Code : Organization
Provider Name (Legal Business Name) : LL LIRA INC.
Provider Business Mailing Address
First Line : 1509 NEW COMBES HWY
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-4720
Country : US
Telephone Number : 956-425-0112
Fax Number : 956-425-0119
Provider Business Practice Location Address
First Line : 1509 NEW COMBES HWY
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-4720
Country : US
Telephone Number : 956-425-0112
Fax Number : 956-425-0119
Authorized Official
Title or Position : C. E. O.
Name : JOSE LUIS LIRA
Credential :
Telephone Number : 956-425-0112
Provider Enumeration Date : 10/05/2007
Last Update Date : 10/05/2007

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