Organization
ELK VALLEY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1645 MURFREESBORO PIKE STE J, NASHVILLE, TN 37217-2936
(615) 360-1116
(615) 360-7895
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
00000042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445965
—
TN
Enumeration date
10/04/2006
Last updated
10/08/2021
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