Provider Demographics
NPI:1689822132
Name:ACQUISTIONS D ELISE, INC
Entity Type:Organization
Organization Name:ACQUISTIONS D ELISE, INC
Other - Org Name:LIFE STEPS REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-544-6881
Mailing Address - Street 1:6023 82ND STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-0806
Mailing Address - Country:US
Mailing Address - Phone:806-544-6881
Mailing Address - Fax:817-578-3098
Practice Address - Street 1:6023 82ND STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0806
Practice Address - Country:US
Practice Address - Phone:806-544-6881
Practice Address - Fax:817-578-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)