Organization Name: | LHCG XXIX LLC |
NPI Number: | 1629376918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD D STELLY (PRESIDENT) |
Mailing Address: | 1404 E Avalon Ave Suite C Tuscumbia |
State: | AL US |
Postal Code: | 356741773 |
Phone Number: | 2563141204 |
Fax Number: | 2563141206 |
NPI Enumeration Date: | 03/10/2011 |
NPI Last Update Date: | 06/01/2016 |
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: |