Organization
TENNESSEE IN-HOME PARTNER-III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1820 HUNTSVILLE HWY STE A, FAYETTEVILLE, TN 37334-3789
(931) 433-7026
(931) 433-0341
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
01/25/2018
Last updated
09/12/2023
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