Organization
WAUKEGAN HOSPICE, LLC
Active
Other names
LHC-Illinois Home Health Care, Vista Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY / TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1790 NATIONS DR, STE 205, GURNEE, IL 60031-9164
(847) 672-9225
(847) 672-9593
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
06/22/2020
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