MEDICARE: AGAPE ENTERPRISES, INC.

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	111N00000X	Chiropractor	6068	AZ

General Provider Information

NPI Number	:	1881733400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	1513 W THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-6169
Country	:	US
Telephone Number	:	602-266-5399
Fax Number	:	602-266-5759

Provider Business Practice Location Address
First Line	:	1513 W THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-6169
Country	:	US
Telephone Number	:	602-266-5399
Fax Number	:	602-266-5759

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRIDGETT LOUISE JAMESON
Credential	:	D.C
Telephone Number	:	602-266-5399

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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Directions to “AGAPE ENTERPRISES, INC. ” Practice Location

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