Organization
LHCG LXXXV, LLC
Active
Other names
Elite Palliative Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
3024 RED WOLF BLVD, JONESBORO, AR 72401-7415
(870) 333-5355
(870) 333-5369
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
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233530762
—
AR
Enumeration date
09/28/2016
Last updated
07/03/2024
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