Organization · NPI-2

Agape'S Love

Home Health · Surprise, AZ

NPI number1114575008

StatusActive

Last updated in NPPESSep 3, 2019

Details

NPI: 1114575008
Entity type: Organization (NPI-2)
Legal business name: Agape'S Love
Organization subpart: No
Enumeration date: Sep 3, 2019
Last updated: Sep 3, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–

Practice location

16682 N West Point Pkwy Apt 123
Surprise, AZ 85374-4056

Phone 602-824-8352 · Fax 602-325-0339

Mailing address

16682 N West Point Pkwy Apt 123
Surprise, AZ 85374-4056

Phone 602-824-8352 · Fax 602-325-0339

Authorized official

Jasmine Thomas
Manager
6028248352

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