Organization
DIVINE VOICE OF DESTINY HOSPICE LLC
Active
Other names
DVOD Hospice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOMORRIS D JOHNSON TH.D D.D (OWNER)
(601) 850-1797
Entity
Organization
Contact information
Practice address
3823 WARNER AVE, JACKSON, MS 39213-6034
(601) 850-1797
Mailing address
3823 WARNER AVE, JACKSON, MS 39213-6034
(601) 850-1797
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MS
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
253Z00000X
In Home Supportive Care Agency
—
MS
315D00000X
Inpatient Hospice
—
MS
Other
Enumeration date
02/02/2015
Last updated
02/25/2015
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