Organization
HATTIESBURG HOME CARE SERVICES LLC
Active
Other names
HomeChoice Health Services - Hattiesburg, Wesley Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
22 MILLBRANCH RD STE 1200, HATTIESBURG, MS 39402-1594
(601) 620-0971
(662) 580-4850
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
11386
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770229
—
MS
Enumeration date
03/23/2006
Last updated
09/08/2021
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