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Organization
LHCG XLVI, LLC
Active
Organization
LHCG XLVI, LLC
Active
Other names
Lifeline Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
710 N MAIN ST, TOMPKINSVILLE, KY 42167-1130
(270) 487-5905
(270) 487-6369
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
253Z00000X
In Home Supportive Care Agency
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/22/2013
Last updated
01/13/2022
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