NPI 1972936821 · live from the CMS NPI Registry
Agape Hospice Corp.
Hospice Care, Community Based in Southaven, MS. National Provider Identifier 1972936821, active.
NPI record
| NPI | 1972936821 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1774 Main St, Southaven, MS 38671 |
| Practice phone | 662-253-8605 |
| Enumerated | August 14, 2013 |
| Last updated | October 17, 2013 |
| Authorized official | Jacky Matthews, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 222 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.