# KENTUCKY IN-HOME PARTNER-II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeline Health Care of Logan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093213076
- **Authorized official:** JOSHUA L. PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 1527 NASHVILLE ST, RUSSELLVILLE, KY 42276-8851
- **Practice address phone:** (270) 726-2408
- **Practice address fax:** (270) 726-7213
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2018
- **Last updated:** 10/04/2024