Organization
FORT PAYNE HOME CARE, LLC
Active
Other names
Alabama HomeCare of Fort Payne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1706 GLENN BLVD SW STE 3, FORT PAYNE, AL 35968-3544
(256) 844-2882
(256) 844-6591
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
CON1340
AL
251E00000X
Home Health Agency
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DEK7093A
—
AL
Enumeration date
06/19/2006
Last updated
09/25/2024
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