Organization
LHCG CLXVII, LLC
Active
Other names
Elite Community-Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1225 BRECKENRIDGE DR STE 102, LITTLE ROCK, AR 72205-1565
(501) 588-7017
(501) 588-3806
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/23/2020
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