Organization
SJ HOME CARE LLC
Active
Other names
Lutheran Health Network Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
5718 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 490-6535
(290) 497-8159
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
—
IN
Other
Enumeration date
07/07/2008
Last updated
07/24/2020
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