Lhcg Xvii, LLC

NPI #1700107901 in Rupert, Idaho

Provider Information

NPI Number
1700107901
Entity Type
Organization
Organization Name
Lhcg Xvii, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 22, 2010
Last Updated
Jun 22, 2010

Practice Location

Address
418 ONEIDA ST
City
Rupert
State
Idaho
ZIP Code
83350-1748
Phone
(208) 436-5855

Authorized Official

Name
PETER C NOVEMBER II
Title
EXECUTIVE VICE PRESIDENT
Phone
(337) 233-1307

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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