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Organization
HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC
Active
Organization
HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC
Active
Other names
Caretenders
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
7015 SPRING MEADOWS WEST DR STE 102, HOLLAND, OH 43528-9299
(567) 703-5399
(567) 703-5480
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159528
—
OH
Enumeration date
06/30/2006
Last updated
03/27/2024
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