Organization
MARION REGIONAL HOMECARE, LLC
Active
Other names
Marion Regional HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
234 1ST AVE SW, SUITE 2, HAMILTON, AL 35570-5580
(205) 921-0391
(205) 921-1594
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
—
114199
—
AL
Enumeration date
03/11/2009
Last updated
05/24/2024
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