Organization
LHCG CLXII, LLC
Active
Other names
Baptist Trinity Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
8000 CENTERVIEW PKWY STE 405, CORDOVA, TN 38018-4227
(901) 343-8100
(901) 343-8099
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
07/03/2024
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