Organization
LHCG LXXVII, LLC
Active
Other names
Northern Arizona Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY / TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
203 S CANDY LN, SUITE 5A, COTTONWOOD, AZ 86326-4120
(928) 639-6674
(928) 639-6403
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
Enumeration date
02/26/2016
Last updated
07/21/2021
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