Organization
AGAPE HOSPICE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKY LEE MATTHEWS (ADMINISTRATOR)
(662) 253-8605
Entity
Organization
Contact information
Practice address
1774 MAIN ST, SOUTHAVEN, MS 38671-1215
(662) 253-8605
(662) 253-8814
Mailing address
1774 MAIN ST, SOUTHAVEN, MS 38671-1215
(662) 253-8605
(662) 253-8814
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
222
MS
Other
Enumeration date
08/14/2013
Last updated
10/17/2013
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