Organization
ARKANSAS IN-HOME PARTNER-I, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 5 N STE 4, BRYANT, AR 72022-9205
(501) 943-1160
(501) 943-1163
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
—
258083514
—
AR
Enumeration date
09/10/2019
Last updated
12/27/2023
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