Lhcg Ccxxviii, LLC

NPI #1265160170 in Vidalia, Georgia

Provider Information

NPI Number
1265160170
Entity Type
Organization
Organization Name
Lhcg Ccxxviii, LLC
Primary Specialty
Home Health
Enumeration Date
Aug 9, 2022
Last Updated
Aug 9, 2022

Practice Location

Address
115 NW MAIN ST
State
Georgia
ZIP Code
30474-3103
Phone
(478) 374-3468

Authorized Official

Name
NICHOLAS GACHASSIN III
Title
EXECUTIVE VICE PRESIDENT
Phone
(337) 233-1307

Specialties & Taxonomy Codes

Specialty
Home Health

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