Lhcg Xxix LLC
Home Health in Red Bay, AL. Organization (NPI-2).
NPI number1366740656
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1366740656
- Entity type
- Organization (NPI-2)
- Legal business name
- Lhcg Xxix LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2011
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Keller Home Care (Doing Business As)
Practice location
203 4th Ave SwRed Bay, AL 35582-4189
Phone 256-356-8160 · Fax 256-356-6861
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307 · Fax 337-233-5764
Other practice locations
116 4th Ave Se
Red Bay, AL 35582-4191
Red Bay, AL 35582-4191
Phone 256-356-8160 · Fax 256-356-6861
Authorized official
Joshua L Proffitt
Executive Vice President
3372331307
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