Organization · Type 2 NPI
Divinity Hospice Llc.
Physical Disabilities Residential Treatment Facility · Laurel, MS
NPI number
1275837767
Active
Practice location
337 Ellisville Blvd
Laurel, MS 39440-4523
Mailing address
PO Box 6424
Laurel, MS 39441-6424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 199 (MS) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
About NPI 1275837767
Divinity Hospice Llc.'s National Provider Identifier is 1275837767, issued on Dec 27, 2010. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Laurel, MS. The record was last updated on Dec 27, 2010.