03D2110927 CLIA NUMBER - Lhcg Lxxvii, LLC Dba Northern Arizona

CLIA Number: 03D2110927

Facility Name: Lhcg Lxxvii, LLC Dba Northern Arizona

Facility Address:
203 S Candy Lane, Ste 2a
Cottonwood, AZ
ZIP 86326
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Facility Phone Number: (920) 639-6676

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1164882619

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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