Organization
LHCG XVII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
222 SHOSHONE ST E, TWIN FALLS, ID 83301-6105
(208) 734-4064
(208) 733-5980
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
Enumeration date
05/14/2010
Last updated
07/27/2015
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