Organization
LIRA HOME CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA P KATSENKO (PRESIDENT)
(352) 232-1986
Entity
Organization
Contact information
Practice address
4125 EVERETT AVE, SPRING HILL, FL 34609-2447
(352) 683-9784
(352) 683-9784
Mailing address
4125 EVERETT AVE, SPRING HILL, FL 34609-2447
(352) 683-9784
(352) 683-9784
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906179
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
6906179
FL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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