Organization · NPI-2
Agape Services LLC
In Home Supportive Care · Madison, WI
NPI number1962064816
StatusActive
Last updated in NPPESJul 1, 2019
Details
- NPI
- 1962064816
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2019
- Last updated
- Jul 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
555 Donofrio Dr # 3Madison, WI 53719-2053
Phone 608-841-1004
Mailing address
555 Donofrio Dr # 3Madison, WI 53719-2053
Phone 608-841-1004
Authorized official
Rene Louise Gibbs-Tharpe
Owner
6088411004
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