Organization · Type 2 NPI
Proffitt's Residential
Adult Care Home Facility · Centerville, IA
NPI number
1750412672
Active
Practice location
615 West Washington St
Centerville, IA 52544-1623
Fax (641) 437-4161
Mailing address
615 W Washington St
Centerville, IA 52544-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | R542 (IA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1750412672
Proffitt's Residential's National Provider Identifier is 1750412672, issued on Mar 9, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Centerville, IA. The record was last updated on Aug 22, 2020.