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General NPI Number Information
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NPI Number | 1598829129
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Entity Type | Organization
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Legal Business Name | LHCG XIII, LLC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 4540 AMBASSADOR CAFFERY PKWY STE B220
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City | LAFAYETTE
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State | LA
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Zip | 70508-6937
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Country | US
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Telephone | 337-406-2539
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Fax | 337-406-8414
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Provider Business Mailing Address
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Address Line | P.O. BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONALD D. STELLY
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1058
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License Number State | LA
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