Organization
LHCG CLXI, LLC
Active
Other names
Northeast Georgia Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
915 INTERSTATE RIDGE DR STE A1, GAINESVILLE, GA 30501-7076
(770) 297-0041
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
05/24/2024
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