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
360 OSSIE DAVIS PKWY, WAYCROSS, GA 31501-4566
(912) 283-1262
(912) 283-5374
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
148124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029946378B
—
GA
Enumeration date
11/08/2005
Last updated
10/09/2023
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