# VIRGINIA IN-HOME PARTNER-XII, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wythe Palliative Care of Southwest Virginia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780279075
- **Authorized official:** JOSHUA L PROFFITT (PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 705 E MAIN ST STE A, WYTHEVILLE, VA 24382-3301
- **Practice address phone:** (276) 228-0840
- **Practice address fax:** (276) 226-9167
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1370
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2021
- **Last updated:** 08/26/2026