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Organization

LHCG LXXX, LLC

Active
Other names
PHR Hospice of Annandale
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
7619 LITTLE RIVER TPKE, ANNANDALE, VA 22003-2625
(703) 379-9012
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
05/17/2016
Last updated
05/17/2016
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