Organization
COOSA VALLEY HOMECARE, LLC
Active
Other names
Coosa Valley HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
640 W FORT WILLIAMS ST STE A, SYLACAUGA, AL 35150-2440
(256) 208-0087
(256) 208-0301
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
—
115400
—
AL
Enumeration date
07/23/2009
Last updated
02/07/2025
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