Provider Demographics
NPI:1346861739
Name:E LUGO, LLC
Entity Type:Organization
Organization Name:E LUGO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ERNESTO
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-464-7741
Mailing Address - Street 1:2115 LOTT RD
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-5633
Mailing Address - Country:US
Mailing Address - Phone:956-464-7741
Mailing Address - Fax:956-464-0007
Practice Address - Street 1:1901 NEW LIFE DR
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-3479
Practice Address - Country:US
Practice Address - Phone:956-377-5916
Practice Address - Fax:956-377-5895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility