NPI 1275837767

Divinity Hospice LLC.

Organisation Physical Disabilities Residential Treatment Facility Laurel, MS

Practice location

Address: 337 Ellisville Blvd, Laurel, MS 39440-4523
Phone: (601) 319-1211
Mailing address: PO Box 6424, Laurel, MS 39441-6424

Authorised official

Name: Donald H Pugh
Title: Ceo
Phone: (601) 319-1211

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 199 (MS)

Other Residential Treatment Facility, Physical Disabilities providers in Mississippi →

Registry record

NPI: 1275837767
Entity type: Organization
NPI issued: 27 Dec 2010
Record last updated: 27 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.