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Organization
LHCG-X, LLC
Active
Organization
LHCG-X, LLC
Active
Other names
Louisiana Extended Care Hospital of West Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, 3RD FLOOR, WEST MONROE, LA 71291-5327
(318) 329-4300
(318) 329-4339
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1702099
—
LA
01
—
190061418Z
BLUE CROSS BLUE SHIELD OF
LA
01
—
5DN91
PINNACLE PART B
LA
Enumeration date
06/02/2006
Last updated
02/19/2014
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