| Organization Name: | AGAPE HOSPICE CORP. |
| NPI Number: | 1972936821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACKY LEE MATTHEWS (ADMINISTRATOR) |
| Mailing Address: | 1774 Main St Southaven |
| State: | MS US |
| Postal Code: | 386711215 |
| Phone Number: | 6622538605 |
| Fax Number: | 6622538814 |
| NPI Enumeration Date: | 08/14/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |