OrganizationActive
Divinity Hospice LLC.
NPI 1275837767 · Physical Disabilities Residential Treatment Facility · Laurel, MS
Provider details
- NPI number
- 1275837767
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donald Pugh, Ceo(601) 319-1211
- License
- 199 (MS)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
337 Ellisville Blvd
Laurel, MS 39440-4523
Phone: (601) 319-1211
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6424
Laurel, MS 39441-6424
Registry dates
- Enumerated
- 2010-12-27
- Last updated
- 2010-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.