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Organization
LHCG CLIV, LLC
Active
Organization
LHCG CLIV, LLC
Active
Other names
Mederi Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1635 E HIGHWAY 50 STE 100, CLERMONT, FL 34711-5107
(352) 241-7138
(352) 241-7248
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
02/19/2020
Last updated
09/21/2023
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