Provider Demographics
NPI:1881882678
Name:LL LIRA INC.
Entity type:Organization
Organization Name:LL LIRA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C. E. O.
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:LIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-0112
Mailing Address - Street 1:1509 NEW COMBES HWY
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-4720
Mailing Address - Country:US
Mailing Address - Phone:956-425-0112
Mailing Address - Fax:956-425-0119
Practice Address - Street 1:1509 NEW COMBES HWY
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4720
Practice Address - Country:US
Practice Address - Phone:956-425-0112
Practice Address - Fax:956-425-0119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care