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NPI Code Detail

MEDICARE: LHCG LIX, LLC

MEDICARE: LHCG LIX, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1447664172
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG LIX, LLC
Provider Business Mailing Address
First Line : PO BOX 51266
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1266
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-233-5764
Provider Business Practice Location Address
First Line : 63 SOCKANOSSET CROSS RD
Second Line : SUITE 1-C
City : CRANSTON
State : RI
Zip : 02920-5557
Country : US
Telephone Number : 401-383-2250
Fax Number : 401-383-2260
Authorized Official
Title or Position : PRESIDENT, LHC GROUP, INC.
Name : DONALD D STELLY
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 06/20/2014
Last Update Date : 07/30/2014

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