Provider Demographics
NPI:1639664782
Name:LIMAR ADULT DAY HEALTH CARE CENTER, INC.
Entity Type:Organization
Organization Name:LIMAR ADULT DAY HEALTH CARE CENTER, INC.
Other - Org Name:LIMAR ADULT DAY HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKODAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-810-5090
Mailing Address - Street 1:2809 TWEEDY BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-5538
Mailing Address - Country:US
Mailing Address - Phone:323-567-9919
Mailing Address - Fax:323-567-9929
Practice Address - Street 1:2809 TWEEDY BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-5538
Practice Address - Country:US
Practice Address - Phone:323-567-9919
Practice Address - Fax:323-567-9929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care