| 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 |