NPI | 1457343451 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA L PROFFITT President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: WV N/A) |
Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Enumeration Date | 2005-08-17 |
Last Update Date | 2024-08-23 |