Provider Demographics
NPI:1255482642
Name:COMPASSION WORKS
Entity Type:Organization
Organization Name:COMPASSION WORKS
Other - Org Name:RELIEF WORKS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:601-876-6784
Mailing Address - Street 1:190 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:TYLERTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:39667-7187
Mailing Address - Country:US
Mailing Address - Phone:601-876-6784
Mailing Address - Fax:601-876-6784
Practice Address - Street 1:190 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:TYLERTOWN
Practice Address - State:MS
Practice Address - Zip Code:39667-7187
Practice Address - Country:US
Practice Address - Phone:601-876-6784
Practice Address - Fax:601-876-6784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00530861Medicaid
MS00000319Medicaid