Organization · NPI-2

Agape Nurse Registry

Home Health · Hialeah, FL

NPI number1922512094
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1922512094
Entity type
Organization (NPI-2)
Legal business name
Agape Nurse Registry
Organization subpart
No
Enumeration date
Nov 27, 2017
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––

Practice location

3802 W 12th Ave
Hialeah, FL 33012-4127

Phone 786-314-2422 · Fax 305-270-7114

Mailing address

3802 W 12th Ave
Hialeah, FL 33012-4127

Phone 786-314-2422 · Fax 305-270-7114

Authorized official

Leydi Lisette Martinez
President
7869700293

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