# LHCG LXXX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHR Home Health of Annandale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881058568
- **Authorized official:** DONALD D. STELLY (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 7619 LITTLE RIVER TPKE, SUITE 600, ANNANDALE, VA 22003-2625
- **Practice address phone:** (703) 379-9012
- **Practice address fax:** (703) 379-9095
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 07/12/2016