Lhcg Xvii, LLC

NPI #1952614943 in Hailey, Idaho

Provider Information

NPI Number
1952614943
Entity Type
Organization
Organization Name
Lhcg Xvii, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 19, 2010
Last Updated
Jul 19, 2010

Practice Location

Address
141 CITATION WAY
Address 2
UNIT #2
City
Hailey
State
Idaho
ZIP Code
83333-5103
Phone
(208) 788-6030

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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