Provider Demographics
NPI:1598139446
Name:LAAR, CORP
Entity Type:Organization
Organization Name:LAAR, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LEYANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NODA
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:786-624-1669
Mailing Address - Street 1:11401 SW 40TH ST
Mailing Address - Street 2:309
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3372
Mailing Address - Country:US
Mailing Address - Phone:786-624-1669
Mailing Address - Fax:786-580-4771
Practice Address - Street 1:11401 SW 40TH ST
Practice Address - Street 2:309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3372
Practice Address - Country:US
Practice Address - Phone:786-624-1669
Practice Address - Fax:786-580-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management