Organization
LHCG CLXVIII, LLC
Active
Other names
Elite Community-Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 5 N STE 6, BRYANT, AR 72022-9205
(337) 233-1307
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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