Healthcare Provider Details
I. General information
NPI: 1184671059
Provider Name (Legal Business Name): LHCG-VI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1810 MAIN ST
FRANKLIN LA
70538-3110
US
IV. Provider business mailing address
P.O. BOX 51266
LAFAYETTE LA
70505-1266
US
V. Phone/Fax
- Phone: 337-828-2929
- Fax: 337-828-7088
- Phone: 337-233-1307
- Fax: 337-233-5764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 1040 |
| License Number State | LA |
VIII. Authorized Official
Name:
DONALD
D.
STELLY
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307