Organization
LA PORTE HOME CARE SERVICES LLC
Active
Other names
Indiana Homecare Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
300 LEGACY PLZ W, LA PORTE, IN 46350-5286
(219) 344-5508
(219) 344-5528
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
—
—
Other
Enumeration date
01/08/2016
Last updated
05/03/2021
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