Organization
LHCG XXIX LLC
Active
Other names
Alabama Hospice of the Shoals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (SECRETARY / TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1404 E AVALON AVE, SUITE C, TUSCUMBIA, AL 35674-1773
(256) 314-1204
(256) 314-1206
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129891
—
AL
Enumeration date
03/10/2011
Last updated
11/24/2020
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