# HOME HEALTH PROFESSIONAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861678021
- **Authorized official:** JODY WILLIAMS (CEO)
- **Authorized official phone:** (225) 667-2792

## Contact information

- **Practice address:** 2550 FLORIDA BLVD SW, DENHAM SPRINGS, LA 70726-4951
- **Practice address phone:** (225) 667-2792
- **Mailing address:** 722 S RANGE AVE, DENHAM SPRINGS, LA 70726-4401
- **Mailing address phone:** (225) 667-7279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 625 | LA | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008