Organization
LAKESHORE HOSPICE ACQUISITION, LLC
Active
Organization
LAKESHORE HOSPICE ACQUISITION, LLC
Active
Other names
Lakeshore Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS JOSEPH LOPEZ (MEMBER/ADMINISTRATOR)
(985) 549-1877
Entity
Organization
Contact information
Practice address
15781 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 549-1877
(985) 375-1192
Mailing address
15781 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 549-1877
(985) 375-1192
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2203781977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580970
—
LA
01
—
19-1588
MEDICARE PTAN
LA
Enumeration date
03/07/2006
Last updated
12/24/2014
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