DIVINITY HOSPICE LLC.
Residential Treatment Facilities at Ellisville Blvd, Choctaw, MS

License number
Mississippi 199
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Physical Disabilities
Owner
Name: MR. DONALD H PUGH SR.
Title: CEO
Phone: (601) 319-1211
Address
Address
337 Ellisville Blvd, Choctaw, MS 39440
National Provider ID: 1275837767
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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