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
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