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Organization

LHCG XXIX LLC

Active
Other names
Keller Home Care
Organization subpart
No

Provider details

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

Contact information

Practice address
203 4TH AVE SW, RED BAY, AL 35582-4189
(256) 356-8160
(256) 356-6861
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

Enumeration date
03/10/2011
Last updated
12/17/2019
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