Organization
AGAPE HEALTHCARE & PHLEBOTOMY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMARCUS RIDEOUT (OWNER/CEO)
(601) 810-5227
Entity
Organization
Contact information
Practice address
4906 OLD HIGHWAY 11 STE 7, HATTIESBURG, MS 39402-8860
(601) 268-0380
Mailing address
4906 OLD HIGHWAY 11 STE 7, HATTIESBURG, MS 39402-8860
(601) 268-0380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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