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NPI Code Detail

MEDICARE: LHCG XXII, LLC

MEDICARE: LHCG XXII, 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1922393115
Entity Type Code : Organization
Provider Name (Legal Business Name) : LHCG XXII, 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 : 2153 RIVERCHASE OFFICE RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1836
Country : US
Telephone Number : 205-620-5244
Fax Number : 205-620-9495
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : PETER C. NOVEMBER II
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 06/15/2011
Last Update Date : 06/15/2011

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Directions to “LHCG XXII, LLC ” Practice Location

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