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Organization
FORT PAYNE HOME CARE, LLC
Active
Organization
FORT PAYNE HOME CARE, LLC
Active
Other names
Alabama HomeCare of Fort Payne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1706 GLENN BLVD SW STE 3, FORT PAYNE, AL 35968-3544
(256) 844-2882
(256) 844-6591
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CON1340
AL
251E00000X
Home Health Agency
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DEK7093A
—
AL
Enumeration date
06/19/2006
Last updated
09/25/2024
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