Healthcare Provider Details

I. General information

NPI: 1588973895
Provider Name (Legal Business Name): AGAPE PALLIATIVE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6041 S SYRACUSE WAY SUITE 220
GREENWOOD VILLAGE CO
80111-4771
US

IV. Provider business mailing address

6041 S SYRACUSE WAY SUITE 220
GREENWOOD VILLAGE CO
80111-4771
US

V. Phone/Fax

Practice location:
  • Phone: 720-482-1988
  • Fax: 720-482-1990
Mailing address:
  • Phone: 720-482-1988
  • Fax: 720-482-1990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY K WOODS II
Title or Position: CEO
Credential:
Phone: 720-482-1988