Organization
ARKANSAS HOMECARE OF FULTON, LLC
Active
Other names
Elite Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
110 HIGHWAY 62 W STE 1, SALEM, AR 72576-8059
(870) 895-2273
(870) 895-5515
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
AR4781
AR
251J00000X
Nursing Care Agency
AR4781B
AR
253Z00000X
In Home Supportive Care Agency
AR4781B
AR
Other
Enumeration date
03/23/2007
Last updated
02/13/2024
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