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Organization
LHCG LXXX, LLC
Active
Organization
LHCG LXXX, LLC
Active
Other names
PHR Home Health of Annandale
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
(703) 379-9012
(703) 379-9095
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
—
NULL
Other
Enumeration date
04/08/2016
Last updated
07/12/2016
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