Organization
LHCG CLXXX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
3909 ARCTIC BLVD STE 102, ANCHORAGE, AK 99503-5769
(907) 272-1275
(907) 272-1311
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
11/11/2020
Last updated
11/11/2020
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