Organization
LIFELINE PRIVATE DUTY SERVICES OF KENTUCKY, LLC
Active
Other names
Lifeline Community-Based Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
368 N HIGHWAY 27 STE 1, SOMERSET, KY 42503-1712
(606) 676-0045
(606) 451-8371
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/23/2017
Last updated
10/02/2024
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