Organization
WARE VISITING NURSES SERVICE, INC
Active
Other names
SunCrest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
59 BRANTLEY ST, NAHUNTA, GA 31553-5063
(912) 462-6773
(912) 496-5776
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(334) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000240083A
—
GA
01
—
000240083B
CCSP
GA
01
—
00240083E
SOURCE
GA
Enumeration date
11/14/2005
Last updated
03/14/2023
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