MEDICARE: AGAPE LOVE HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114361524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE LOVE HOME CARE

Provider Business Mailing Address
First Line	:	1652 W TEXAS ST STE 254
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-5952
Country	:	US
Telephone Number	:	707-205-1205
Fax Number	:

Provider Business Practice Location Address
First Line	:	1652 W TEXAS ST STE 254
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-5952
Country	:	US
Telephone Number	:	707-205-1205
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINSTRATOR
Name	:	ARTHUR J FELTON JR.
Credential	:
Telephone Number	:	707-803-2469

Provider Enumeration Date	:	04/29/2013
Last Update Date	:	04/29/2013

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Directions to “AGAPE LOVE HOME CARE ” Practice Location

Language	Start Address	Practice Location

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