Organization
LIFORA HEALTH LLC
Active
Organization
LIFORA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVAN GLASGOW (OWNER)
(813) 538-8190
Entity
Organization
Contact information
Practice address
13100 NOEL RD APT 308, DALLAS, TX 75240-0400
(813) 538-8190
Mailing address
13100 NOEL RD APT 308, DALLAS, TX 75240-0400
(813) 538-8190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
02/10/2025
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