Organization
GULF HOMECARE, INC.
Active
Other names
Infirmary HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
800 COLLEGE AVE, JACKSON, AL 36545-2533
(251) 262-6477
(251) 247-1080
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
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
INF7130A
—
AL
Enumeration date
06/02/2006
Last updated
12/01/2020
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