Organization
MOUNTAINEER HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
417 GRAND PARK DR STE 203, PARKERSBURG, WV 26105-4049
(304) 422-9293
(304) 422-9294
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
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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