Provider Demographics
NPI:1972389211
Name:MISSION POINT HOSPICE LLC
Entity Type:Organization
Organization Name:MISSION POINT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIAN
Authorized Official - Middle Name:OKEVE
Authorized Official - Last Name:MULLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-927-3649
Mailing Address - Street 1:930 NEW HOPE RD STE 11-662
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6407
Mailing Address - Country:US
Mailing Address - Phone:678-927-3649
Mailing Address - Fax:
Practice Address - Street 1:930 NEW HOPE RD STE 11-662
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6407
Practice Address - Country:US
Practice Address - Phone:678-927-3649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based