Organization
LHCG LXXXIV, LLC
Active
Other names
D.W. McMillan Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
114 W JACKSON ST, BREWTON, AL 36426-1516
(251) 867-5054
(251) 867-5135
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205178
—
AL
Enumeration date
07/15/2016
Last updated
10/23/2024
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