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Organization

HOME HEALTH CARE BY BLACK STONE OF NORTHWEST OHIO, LLC

Active
Other names
Caretenders
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
7015 SPRING MEADOWS WEST DR STE 102, HOLLAND, OH 43528-9299
(567) 703-5399
(567) 703-5480
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159528
OH
Enumeration date
06/30/2006
Last updated
03/27/2024
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