Organization
LHCG CCXV, LLC
Active
Other names
New Jersey Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4 BRIGHTON RD STE 404, CLIFTON, NJ 07012-1646
(973) 685-5233
(973) 685-5299
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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