Organization
WETZEL COUNTY HOMECARE, LLC
Active
Other names
Wetzel County HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
411 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2711
(304) 455-5515
(304) 455-4796
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010457
—
WV
Enumeration date
06/11/2007
Last updated
09/06/2024
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