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NPI Code Detail

MEDICARE: LHCG-VIII, LLC

MEDICARE: LHCG-VIII, 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 Agency1025LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1190030894ZOTHERLABLUE CROSS BLUE SHIELD OF
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306884606
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG-VIII, LLC
Provider Business Mailing Address
First Line : P.O. 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 : 1123 SHIRLEY RD
Second Line :
City : BUNKIE
State : LA
Zip : 71322-1553
Country : US
Telephone Number : 318-346-3312
Fax Number : 318-346-3318
Authorized Official
Title or Position : PRESIDENT
Name : DONALD D. STELLY
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 06/02/2006
Last Update Date : 10/17/2016

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Directions to “LHCG-VIII, LLC ” Practice Location

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