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19D1043696 CLIA NUMBER - HOSPICE OF NATCHITOCHES D/B/A HOSPICE OF LEESVILLE

Laboratory Demographics

CLIA Number: 19D1043696

Facility Name: HOSPICE OF NATCHITOCHES D/B/A HOSPICE OF LEESVILLE

Facility Address:
1615 S 5TH STREET
LEESVILLE, LA
ZIP 71446
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Facility Phone Number: 337 239-1020

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1144293192

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 19D1043696
LAB Type Hospice
Facility Name HOSPICE OF NATCHITOCHES D/B/A HOSPICE OF LEESVILLE
Street 1615 S 5TH STREET
City LEESVILLE
State LA
ZIP 71446
Phone 337 239-1020
CertificateType 4
CertificateEffectiveDate 8/1/2023
CertificateExpirationDate 7/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024