Organization Name: | LHCG XXII, LLC |
NPI Number: | 1346542610 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D. STELLY (PRESIDENT) |
Mailing Address: | 1458 Jones Dairy Rd Suite 200 Jasper |
State: | AL US |
Postal Code: | 355016110 |
Phone Number: | 2053850200 |
Fax Number: | 2053850198 |
NPI Enumeration Date: | 11/18/2010 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |