LHCG CCIV, LLC

VIRGINIA BEACH, VA
NPI1205506284
Doing Business AsFREDA H. GORDON PALLIATIVE CARE
Entity TypeOrganization
Authorized ContactJOSHUA L PROFFITT
President
337-233-1307
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies251G00000X Hospice Care, Community Based
Enumeration Date2021-09-20
Last Update Date2024-05-16
Business Address
LHCG CCIV, LLC
6477 COLLEGE PARK SQ STE 316
VIRGINIA BEACH, VA 23464-3611
Phone number: 757-452-6932
Mailing Address
LHCG CCIV, LLC
PO BOX 51266
LAFAYETTE, LA 70505-1266
Phone number: 337-233-1307