Organization
LHCG XXIII, LLC
Active
Other names
Marshall County Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECTUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
673 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-8084
(270) 527-9474
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
—
—
261QR1300X
Rural Health Clinic/Center
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100198930
—
KY
05
—
7100198940
—
KY
Enumeration date
12/03/2010
Last updated
01/13/2022
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