Organization
DESTINY HOSPICE PALLIATIVE CARE SPECIALTY SERCICES INC
Active
Organization
DESTINY HOSPICE PALLIATIVE CARE SPECIALTY SERCICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALPHA MARIE RICHARD RN,BSN (CEO/OWNER)
(662) 345-0077
Entity
Organization
Contact information
Practice address
202 SECOND ST., TUTWILER, MS 38963
(662) 345-0077
(662) 345-2009
Mailing address
PO BOX 190, TUTWILER, MS 38963-0190
(662) 345-0077
(662) 345-2009
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
066
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770571
—
MS
Enumeration date
08/30/2006
Last updated
05/02/2008
Update your record
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