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
1103 E 13TH ST, SUITE D, GROVE, OK 74344-7928
(918) 786-4461
(918) 787-3645
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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