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Organization

LHCG XII, LLC

Active
Other names
Louisiana Extended Care Hospital of Lafayette
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS FOX (GROUP PRESIDENT)
(337) 247-1801
Entity
Organization

Contact information

Practice address
2810 AMBASSADOR CAFFERY PKWY FL 6, LAFAYETTE, LA 70506-5906
(337) 289-8180
Mailing address
1000 CHINABERRY DR STE 200, BOSSIER CITY, LA 71111-2443
(318) 684-6050
(318) 684-6051

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700665
LA
01
190061430Z
BLUE CROSS BLUE SHIELD OF
LA
Enumeration date
09/25/2006
Last updated
02/05/2025
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