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Organization

LHCG LXXIX, LLC

Active
Other names
Heartlite Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
111 E LAUREL ST, SCOTTSBORO, AL 35768-1801
(256) 259-1754
(256) 259-1790
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
PIC1634E
AL
Enumeration date
01/27/2016
Last updated
11/24/2020
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