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NPI 1487044178 · live from the CMS NPI Registry

Divine Voice Of Destiny Hospice LLC

Hospice Care, Community Based in Jackson, MS. National Provider Identifier 1487044178, active.

NPI record

NPI1487044178 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location3823 Warner Ave, Jackson, MS 39213
Practice phone601-850-1797
EnumeratedFebruary 2, 2015
Last updatedFebruary 25, 2015
Authorized officialAntomorris Johnson, Owner
Other namesDvod Hospice LLC

Taxonomies and licenses

TaxonomyCodeLicense
Home Health251E00000X— (MS)
In Home Supportive Care253Z00000X— (MS)
Hospice, Inpatient315D00000X— (MS)
Hospice Care, Community Based primary251G00000X— (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.