Organization
CLARKSVILLE HOME CARE SERVICES LLC
Active
Other names
Tennova Home Health - Clarksville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
647 DUNLOP LN STE 305, CLARKSVILLE, TN 37040-5265
(931) 647-3553
(931) 647-7402
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
0000000186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447298
—
TN
Enumeration date
05/24/2006
Last updated
08/30/2023
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