| NPI | 1407458532 |
|---|---|
| Doing Business As | CASA DE LA LUZ PALLIATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA L PROFFITT President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251G00000X Hospice Care, Community Based | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-03-27 |