Proffitt's Residential
NPI #1750412672 in Centerville, Iowa
Provider Information
- NPI Number
- 1750412672
- Entity Type
- Organization
- Organization Name
- Proffitt's Residential
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 615 WEST WASHINGTON ST
- City
- Centerville
- State
- Iowa
- ZIP Code
- 52544-1623
- Phone
- (641) 856-8344
Authorized Official
- Name
- MARY CATHERINE PROFFITT
- Title
- OWNER
- Phone
- (641) 856-8344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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