Organization
LIRA HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS MAXIMOV (ADMINISTRATOR)
(323) 782-1815
Entity
Organization
Contact information
Practice address
8111 BEVERLY BLVD, SUITE 208, LOS ANGELES, CA 90048-4525
(323) 782-1815
(323) 782-1355
Mailing address
8111 BEVERLY BLVD, SUITE 208, LOS ANGELES, CA 90048-4525
(323) 782-1815
(323) 782-1355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2010
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