Provider Demographics
NPI:1598131526
Name:EL'LUCRE MANAGEMENT CORP
Entity Type:Organization
Organization Name:EL'LUCRE MANAGEMENT CORP
Other - Org Name:SLEEPSOMATICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-323-9253
Mailing Address - Street 1:12407 N MOPAC EXPY
Mailing Address - Street 2:#250-342
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2475
Mailing Address - Country:US
Mailing Address - Phone:512-323-9253
Mailing Address - Fax:
Practice Address - Street 1:2211 W PARMER LN
Practice Address - Street 2:UNIT A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4331
Practice Address - Country:US
Practice Address - Phone:512-323-9253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL'LUCRE MANAGEMENT CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001125332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies