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Organization
LHCG CCXV, LLC
Active
Organization
LHCG CCXV, LLC
Active
Other names
New Jersey Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4 BRIGHTON RD STE 404, CLIFTON, NJ 07012-1646
(973) 685-5233
(973) 685-5299
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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