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Organization
LHCG CLVI, LLC
Active
Organization
LHCG CLVI, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SEC/TREA)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1167 MIRANDA LN, KISSIMMEE, FL 34741-0763
(407) 931-0487
(407) 931-0161
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
07/21/2020
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