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Organization

LHCG XCVI, LLC

Active
Other names
Baptist Memorial Home Care & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSHUA PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
641 RB WILSON DR STE E, HUNTINGDON, TN 38344-1734
(731) 418-4083
(731) 418-4079
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
05/08/2017
Last updated
05/05/2023
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