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Organization
LHCG XII, LLC
Active
Organization
LHCG XII, LLC
Active
Other names
Louisiana Extended Care Hospital of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS FOX (GROUP PRESIDENT)
(337) 247-1801
Entity
Organization
Contact information
Practice address
2810 AMBASSADOR CAFFERY PKWY FL 6, LAFAYETTE, LA 70506-5906
(337) 289-8180
Mailing address
1000 CHINABERRY DR STE 200, BOSSIER CITY, LA 71111-2443
(318) 684-6050
(318) 684-6051
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700665
—
LA
01
—
190061430Z
BLUE CROSS BLUE SHIELD OF
LA
Enumeration date
09/25/2006
Last updated
02/05/2025
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