| Lrca Llc | |
|
16965 Sw 289th Ter Homestead FL 33030-2557 | |
| (786) 449-8402 | |
| Not Available |
| Full Name | Lrca Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 16965 Sw 289th Ter, Homestead, Florida |
| Authorized Official Name and Position | Loreta Anon (OWNER) |
| Authorized Official Contact | 7864498402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrca Llc 16965 Sw 289th Ter Homestead FL 33030-2557 Ph: () - | Lrca Llc 16965 Sw 289th Ter Homestead FL 33030-2557 Ph: (786) 449-8402 |
| NPI Number | 1073345963 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073345963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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