Organization
DIVINE HOSPICE AND PALLIATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONIA WILLIAMS RN,BSN (CEO)
(662) 453-6668
Entity
Organization
Contact information
Practice address
415 CARROLLTON AVENUE, GREENWOOD, MS 38930
(662) 453-6668
Mailing address
PO BOX 8143, GREENWOOD, MS 38935-8143
(662) 453-6668
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
MS
Other
Enumeration date
02/10/2012
Last updated
01/09/2015
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