Organization
SPRINGDALE HOME CARE SERVICES LLC
Active
Other names
Northwest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2921 S OLD MISSOURI RD STE 1&2, SPRINGDALE, AR 72764-7695
(479) 757-4000
(479) 757-2908
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
4234
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136253742
—
AR
Enumeration date
05/17/2006
Last updated
09/06/2024
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