# MENA MEDICAL CENTER HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649354960
- **Authorized official:** JOSHUA L PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 605 MAGNOLIA AVE, MENA, AR 71953-3009
- **Practice address phone:** (479) 394-1812
- **Practice address fax:** (479) 394-1929
- **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 |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | AR4410 | AR | — |
| 251E00000X | Home Health Agency | AR5123 | AR | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 01/08/2024