Lhcg Lxxxiv, LLC
Home Health in Brewton, AL. Organization (NPI-2).
NPI number1083067904
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1083067904
- Entity type
- Organization (NPI-2)
- Legal business name
- Lhcg Lxxxiv, LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2016
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- D.W. McMillan Home Health (Doing Business As)
Practice location
114 W Jackson StBrewton, AL 36426-1516
Phone 251-867-5054 · Fax 251-867-5135
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307 · Fax 337-233-5764
Authorized official
Joshua L. Proffitt
President
3372331307
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