Organization
MY DESTINY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD MONDESTIN MA (CEO)
(417) 291-9079
Entity
Organization
Contact information
Practice address
512 E 32ND ST, SUITE 210, JOPLIN, MO 64804-3920
(417) 437-8273
Mailing address
512 E 32ND ST, SUITE 210, JOPLIN, MO 64804-3920
(417) 437-8273
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710302898.
—
MO
Enumeration date
04/14/2015
Last updated
07/21/2022
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