Provider Demographics
NPI:1962393751
Name:LIRA RECOVERY LL
Entity type:Organization
Organization Name:LIRA RECOVERY LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARHIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-519-5633
Mailing Address - Street 1:16026 ESTATE LN
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-2269
Mailing Address - Country:US
Mailing Address - Phone:619-549-7911
Mailing Address - Fax:
Practice Address - Street 1:16107 DODD LN
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-1364
Practice Address - Country:US
Practice Address - Phone:619-519-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care