Organization
LHCG CCXXVIII, LLC
Active
Other names
Three Rivers Home Health 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
115 NW MAIN ST, VIDALIA, GA 30474-3103
(478) 374-3468
(478) 374-6741
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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