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Organization

LHCG XCV, LLC

Active
Other names
Baptist Trinity Home Care & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY / TREASURER)
(337) 233-1307
Entity
Organization

Contact information

Practice address
8000 CENTERVIEW PKWY STE 401, CORDOVA, TN 38018-4127
(901) 767-6767
(901) 415-3510
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
Q037772
TN
Enumeration date
05/08/2017
Last updated
10/13/2020
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