The application shall include complete information concerning the address of the applicant; the ownership of the hospice; if organized as a corporation, the names and addresses of each officer and director of the corporation; if organized as a partnership, the names and addresses of each partner; membership of the governing body; the identities of the medical director and administrator; and any other relevant information which the Mississippi State Department of Health may require. A written amendment to the current application shall be filed when there is a change in any of the information reported in the application.
15 Miss. Code. R. 16-1-1.8.3