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Organization

LHCG LXV, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY)
(337) 233-1307
Entity
Organization

Contact information

Practice address
1226 LINN ST, SUITE D, SIKESTON, MO 63801-5200
(573) 471-1438
(573) 471-4804
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING - HOMEMAKER
MO
Enumeration date
01/08/2015
Last updated
04/20/2021
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