Organization
CENTRE HOME CARE, LLC
Active
Other names
Cherokee Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
104C NORTHWOOD DR STE A-1, CENTRE, AL 35960-1017
(256) 927-1144
(256) 927-8068
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510 43642
BC/ BS NURSING
AL
05
—
CHE7094
—
AL
Enumeration date
07/05/2006
Last updated
05/24/2024
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