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Organization
LHCG-XII, LLC
Active
Organization
LHCG-XII, LLC
Active
Parent organization
LHCG-XII, LLC
Other names
Iberia Extended Care Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
LHCG-XII, LLC
Authorized official
MR. JOHN L. INDEST (PRESIDENT AND COO)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2315 E MAIN ST, 3RD FLOOR, NEW IBERIA, LA 70560-4031
(337) 369-1100
(337) 369-1122
Mailing address
420 W PINHOOK RD, SUITE A, LAFAYETTE, LA 70503-2131
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
607-A
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700665
—
LA
Enumeration date
05/22/2007
Last updated
04/11/2008
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