# LIRA HOME CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295912129
- **Authorized official:** MRS. IRINA P KATSENKO (PRESIDENT)
- **Authorized official phone:** (352) 232-1986

## Contact information

- **Practice address:** 4125 EVERETT AVE, SPRING HILL, FL 34609-2447
- **Practice address phone:** (352) 683-9784
- **Practice address fax:** (352) 683-9784
- **Mailing address:** 4125 EVERETT AVE, SPRING HILL, FL 34609-2447
- **Mailing address phone:** (352) 683-9784
- **Mailing address fax:** (352) 683-9784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906179 | FL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6906179 | FL | — |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/22/2008