Organization
LHCG CCXXX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1804 HIGHWAY 45 BYP STE 100, JACKSON, TN 38305-4436
(731) 664-4220
(731) 664-4231
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/06/2022
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