Lhcg Clxxxvi, LLC

NPI #1790387983 in Omak, Washington

Provider Information

NPI Number: 1790387983
Entity Type: Organization
Organization Name: Lhcg Clxxxvi, LLC
Primary Specialty: Hospice Care, Community Based
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 800 JASMINE ST STE 1
City: Omak
State: Washington
ZIP Code: 98841-9501
Phone: (509) 422-6721

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice Care, Community Based	251G00000X	Primary

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