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Contact Information

AGAPE HEALTHCARE & PHLEBOTOMY SERVICES LLC
4906 OLD HIGHWAY 11 STE 7
HATTIESBURG, MS39402-8860
 Phone: 601-268-0380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AGAPE HEALTHCARE & PHLEBOTOMY SERVICES LLC

NPI Number 1285261453
LBN Legal business name AGAPE HEALTHCARE & PHLEBOTOMY SERVICES LLC
Authorized official DEMARCUS RIDEOUT - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2020
Last updated 03/26/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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