Organization
LHCG XXXV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
119 S MAIN ST, MIAMI, OK 74354-7024
(918) 540-2577
(918) 540-0142
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
12/07/2012
Last updated
12/07/2012
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