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Organization
GAMMA ACQUISITION, INC.
Active
Organization
GAMMA ACQUISITION, INC.
Active
Other names
Lifeline Home Health of Western KY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
210 BURLEY AVE, SUITE A, HOPKINSVILLE, KY 42240-8725
(270) 885-6353
(270) 885-2410
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
150023
KY
251J00000X
Nursing Care Agency
150023
KY
253Z00000X
In Home Supportive Care Agency
150023
KY
261QR0400X
Rehabilitation Clinic/Center
150023
KY
261QR1300X
Rural Health Clinic/Center
150023
KY
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
07/09/2006
Last updated
06/01/2023
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